TRI-STATE SURGICAL CENTER, LLC
NPI 1053939074
Anesthesiology in Martinsburg, WV

Q: What is Tri-State Surgical Center, LLC's NPI number?

The NPI number for Tri-State Surgical Center, LLC is 1053939074. It was assigned to this organization in the NPPES registry on July 7, 2020.

Q: What is Tri-State Surgical Center, LLC's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Active since July 07, 2020CLIA 51D1018379 · Waiver

1006 TAVERN RD, MARTINSBURG, WV 25401(304) 267-0556(304) 267-1460 Get Directions Write a Review

NPPES record last updated: July 9, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Tri-state Surgical Center, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRI-STATE SURGICAL CENTER, LLC (NPI 1053939074) is a healthcare organization registered as an anesthesiology in Martinsburg, West Virginia and active in the NPI registry since July 2020. The organization holds a CLIA Waiver certificate valid through October 20, 2027 and lists Hilda Lynn Hoffmaster, Billing/coding Manager, as its authorized official.

NPPES Registry Identity

NPI1053939074

Entity TypeOrganization

Primary Taxonomy207L00000X

Legal Business NameTRI-STATE SURGICAL CENTER, LLC

Location Address1006 TAVERN RDMartinsburg, WV 25401-2864

Mailing Address1006 Tavern RdMartinsburg, WV 25401-2864 · (304) 267-0556 · Fax (304) 267-1460

Phone(304) 267-0556

Fax(304) 267-1460

Organization SubpartYes

Authorized OfficialHilda Lynn HoffmasterBilling/coding Manager · (304) 263-5129

Enumeration DateJuly 7, 2020

Last NPPES UpdateJuly 9, 2020

NPPES CertifiedJuly 9, 2020

✔ NPI 1053939074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians

Taxonomy Code207L00000X

Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

1006 TAVERN RD, Martinsburg, WV 25401

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Other Identifiers 1

Medicaid6905041000WV

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 51D1018379

Tri State Surgical Center · Martinsburg, WV

Active · expires Oct 20, 2027

CLIA Number51D1018379

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateOctober 21, 2025

Certificate Expiration DateOctober 20, 2027

Laboratory DirectorTroy D. Foster Do

Laboratory Phone(304) 263-5129

Laboratory LocationTri State Surgical Center1006 Tavern Road, Martinsburg, WV 25401

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DUONG THAI LY MD

Anesthesiology