TRI-RIVERS HEALTHCARE, PLLC (NPI# 1649592304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649592304 |
| Entity Type | Organization |
| Organization Name | TRI-RIVERS HEALTHCARE, PLLC |
| Practice Address |
141 Hospital Dr Ste 103 Salem KY 42078-8043 |
| Mailing Address |
Po Box 347 Salem KY 42078-0347 |
| Practice Telephone | 2709883298 |
| Practice Fax Number | 2709884642 |
| Mailing Telephone | 2709883298 |
| Mailing Fax Number | 2709884642 |
| Enumeration Date | 2010-02-23 |
| Last Update Date | 2018-04-25 |
| Authorized Official Name | MR. MICHAEL A HENEISEN (AGENT / BUSINESS MANAGER) |
| Authorized Official Telephone | 2709883298 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
Allopathic & Osteopathic Physicians | ||
| N | 208D00000X | General Practice | Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100490960 | 05 | |
| KY | 7100501220 | 05 | |
| KY | 7100109120 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 131 Hospital Dr, Salem, KY 420788043 | 2709882299 | 2709884642 |
| 110 Country Club Dr, Marion, KY 420641873 | 2709651085 | 2709650985 |
| Street Address |
141 HOSPITAL DR STE 103 |
| City | SALEM |
| State | KY |
| Zip Code | 42078-8043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457378044 | Robert M Wilkinson | Nurse Practitioner | 141 Hospital Dr Ste 103, Salem, KY 42078-8043 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760523120 | Shannon Federico | Pharmacist | 119 East Main St., Salem, KY 42078 | 2007-02-09 |
| 1730275892 | Michael L Keller | Pharmacist | 141 Hospital Drive, Salem, KY 42078 | 2006-10-05 |
| 1629597638 | Misty Jones Turmero | Pharmacist | 119 East Main St., Salem, KY 42078 | 2017-09-12 |
| 1740689876 | Codie L Parks | Pharmacist | 131 Hospital Drive, Salem, KY 42078 | 2014-08-14 |
| 1265481022 | Crittenden County Hospital | Clinic/Center | 117 E Main St, Salem, KY 42078 | 2006-05-09 |
| 1891859799 | R V Bharne Psc | Family Medicine | 501 N Hayden Avenue, Salem, KY 42078-0376 | 2006-12-22 |
| 1215072020 | Bradley A Boone | Pharmacist | 141hospital Dr, Clinic Pharmacy, Salem, KY 42078-0498 | 2007-02-20 |
| 1073162475 | Lori Guill | Speech-Language Pathologist | 508 N Hayden Ave, Salem, KY 42078-8008 | 2019-09-09 |
| 1366543837 | Orion Salem LLC | Skilled Nursing Facility | 509 N Hayden Ave, Salem, KY 42078-8008 | 2006-09-26 |
| 1023326436 | Lifeline Homecare of Salem LLC | Clinic/Center | 503 E Main St, Salem, KY 42078-8033 | 2010-09-20 |
| Find all providers in zip 42078 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205027703 | Samuel J. Williams II | Surgery | 834 Red Ln, Salem, VA 24153-2726 | 2007-08-08 |
| 1548487184 | Carrie Elizabeth Allison | Surgery | 655 Winter St Se, Salem, OR 97301-3919 | 2007-04-18 |
| 1598816639 | John Robert Madison | Surgery | 2094 E State St Ste D, Salem, OH 44460-4409 | 2007-01-16 |
| 1386715753 | Danny E Sankovic | Surgery | 1515 E State Street, Salem, OH 44460 | 2006-11-10 |
| 1588755516 | Arthur J. Innes | Surgery | 6160 Crooked Stick Loop Se, Salem, OR 97306 | 2006-09-27 |
| 1215985148 | William Edris Barnes II | Surgery | 141 Hospital Dr Ste 102, Salem, KY 42078-8043 | 2006-05-04 |
| 1265498307 | John E Patricelli | Surgery | 1 Pointers Auburn Rd, Salem, NJ 08079-4311 | 2006-04-26 |
| 1982606885 | Jonathan Fox Noel | Surgery | 505 W Homer St Ste 102, Salem, IN 47167-1698 | 2005-08-11 |
| 1881694032 | Salem Clinic Corp | Surgery | 8 Bypass Road, Salem, NJ 08079 | 2005-07-29 |
| 1750380713 | Curtis L Lockwood | Surgery | 8 By Pass Rd, Salem, NJ 08079-2054 | 2005-07-20 |
| Find all providers in SALEM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.