TRISTATE HEALTH PARTNERS INC. (NPI# 1942551833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942551833 |
| Entity Type | Organization |
| Organization Name | TRISTATE HEALTH PARTNERS INC. |
| Practice Address |
10715 Downsville Pike Suite 103 Hagerstown MD 21740-7240 |
| Practice Telephone | 2403139940 |
| Practice Fax Number | 2403139941 |
| Mailing Telephone | 2403139940 |
| Mailing Fax Number | 2403139941 |
| Enumeration Date | 2012-10-02 |
| Last Update Date | 2012-10-02 |
| Authorized Official Name | SHELLY GRANT (DIRECTOR) |
| Authorized Official Telephone | 2403139949 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302F00000X | Exclusive Provider Organization | Managed Care Organizations |
| Street Address |
10715 DOWNSVILLE PIKE SUITE 103 |
| City | HAGERSTOWN |
| State | MD |
| Zip Code | 21740-7240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952326548 | Gaylen S Johnson | Preventive Medicine | 10715 Downsville Pike, Suite 100, Hagerstown, MD 21740-7240 | 2006-07-13 |
| 1942758677 | Chase Duckwall | Physician Assistant | 10715 Downsville Pike, Hagerstown, MD 21740-7240 | 2016-09-12 |
| 1861864852 | Kevin Richardson | Physician Assistant | 10715 Downsville Pike, Hagerstown, MD 21740-7240 | 2015-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548877426 | Shaynee Ann Barcelona Araneta | Physical Medicine & Rehabilitation | 17303 Kilpatrick Ct, Hagerstown, MD 21740 | 2020-09-25 |
| 1265081319 | Jes Right Care Dba Right At Home | In Home Supportive Care | 223 N. Pospect Street, Suite 203, Hagerstown, MD 21740 | 2019-09-10 |
| 1649828633 | Ihuoma Marvelous Udeagha | Nurse Practitioner | West Virginia University Medicine Brain & Spine, 13 Western Maryland Parkway, Ste 106, Hagerstown, MD 21740 | 2019-09-03 |
| 1831651157 | Rankin Physical Therapy, Inc. | Clinic/Center | 18348 Spark Drive, Suite 203, Hagerstown, MD 21740 | 2019-04-04 |
| 1285195586 | Ultimate Hearing Solutions Vi, LLC | Audiologist-Hearing Aid Fitter | 222 East Oak Ridge Dr. South Point Shopping Center, Suite 1850, Hagerstown, MD 21740 | 2019-03-28 |
| 1285108001 | Alternative Drig & Alcohol Counseling LLC | Counselor | 339 E Antietam Street, Hagerstown, MD 21740 | 2019-01-15 |
| 1093287617 | Brooke's House, Inc. | Clinic/Center | 17670 Technology Boulevard, Hagerstown, MD 21740 | 2018-12-20 |
| 1871096487 | Ashley Lawal | Behavioral Analyst | 649 Guilford Ave, Hagerstown, MD 21740 | 2018-03-10 |
| 1194231738 | Btst Services LLC | Community/Behavioral Health | 1301 W Washington St, 101, Hagerstown, MD 21740 | 2017-12-19 |
| 1811408057 | Compassionate Wellness Center, LLC | Nurse Practitioner | 44 N Potomac St Ste 101&102, Hagerstown, MD 21740 | 2017-10-16 |
| Find all providers in zip 21740 | ||||
| Taxonomy Code | 302F00000X |
| Grouping | Managed Care Organizations |
| Classification | Exclusive Provider Organization |
| (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
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| 1619521333 | Kelly Vahey LLC | Exclusive Provider Organization | 11350 Mccormick Rd # Ll10, Hunt Valley, MD 21031-1002 | 2019-07-31 |
| 1104226653 | Skp Family Dental | Exclusive Provider Organization | 7525 Greenway Center Dr Ste 310, Greenbelt, MD 20770-3525 | 2014-09-02 |
| 1083022974 | Professional Sportscare and Rehab | Exclusive Provider Organization | 203 Grindall St, Baltimore, MD 21230-4103 | 2014-07-24 |
| 1720402415 | Darma Inc | Exclusive Provider Organization | 12921 Dunkirk Dr, Upper Marlboro, MD 20772-9303 | 2014-02-14 |
| 1477983468 | Life Spring Counseling and Consultation Services LLC | Exclusive Provider Organization | 6490 Landover Rd Ste I, Cheverly, MD 20785-1443 | 2013-11-12 |
| 1366874570 | Matthew Patrick Momoh | Exclusive Provider Organization | 216 Prenton St, Upper Marlboro, MD 20774-1534 | 2013-07-30 |
| 1972859866 | Ta Health Services | Exclusive Provider Organization | 8839 Stonebrook Ln, Columbia, MD 21046-1415 | 2012-07-28 |
| 1629396809 | Mentoring The Future Inc | Exclusive Provider Organization | 1816 Graybird Ct, Severn, MD 21144-3130 | 2010-05-12 |
| 1629392550 | Jay Stephen Margolis Md Pa | Exclusive Provider Organization | 8502 Topping Rd, Baltimore, MD 21208-1610 | 2010-03-22 |
| Find all providers with the same taxonomy | ||||
| City | HAGERSTOWN |
| Zip Code | 21740 |
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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.