TRI-STATE OB-GYN PC
NPI 1063510204
Obstetrics & Gynecology in Bullhead City, AZ

Active since September 20, 2006
3003 HIGHWAY 95, STE 31, BULLHEAD CITY, AZ 86442(928) 704-2229(928) 704-2255 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tri-state Ob-gyn Pc NPPES

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

TRI-STATE OB-GYN PC (NPI 1063510204) is a healthcare organization registered as an obstetrics & gynecology in Bullhead City, Arizona and active in the NPI registry since September 2006. The organization lists Theodore London, President, as its authorized official.

NPPES Registry Identity

NPI1063510204
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameTRI-STATE OB-GYN PC
Location Address3003 HIGHWAY 95, STE 31Bullhead City, AZ 86442-7860
Mailing Address3003 Highway 95, Ste 31Bullhead City, AZ 86442-7860 · (928) 704-2229 · Fax (928) 704-2255
Fax(928) 704-2255
Organization SubpartNo
Authorized OfficialTheodore LondonPresident · (928) 704-2229
Enumeration DateSeptember 20, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1063510204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
3003 HIGHWAY 95, Bullhead City, AZ 86442

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

Other Providers at the Same Location NPPES 15

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

Internal Medicine
3003 HIGHWAY 95, SUITE 101
BULLHEAD CITY, AZ 86442
Family Medicine
3003 HIGHWAY 95, SUITE G73
BULLHEAD CITY, AZ 86442
Counselor (Professional)
3003 HIGHWAY 95, SUITE 104
BULLHEAD CITY, AZ 86442
Physician Assistant
3003 HIGHWAY 95, SUITE G73
BULLHEAD CITY, AZ 86442
Dentist (General Practice)
3003 HIGHWAY 95, SUITE B-33
BULLHEAD CITY, AZ 86442
Dentist (General Practice)
3003 HIGHWAY 95, #15
BULLHEAD CITY, AZ 86442
Preferred Provider Organization
3003 HIGHWAY 95, SUITE N-104
BULLHEAD CITY, AZ 86442
Physical Therapist
3003 HIGHWAY 95, SUITE 61
BULLHEAD CITY, AZ 86442

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tri-State Ob-Gyn PC's NPI number?

The NPI number for Tri-State Ob-Gyn PC is 1063510204. It was assigned to this organization in the NPPES registry on September 20, 2006.

Where is Tri-State Ob-Gyn PC located?

Tri-State Ob-Gyn PC is located at 3003 Highway 95 Ste 31, Bullhead City, AZ 86442. The listed phone number is (928) 704-2229.

What is Tri-State Ob-Gyn PC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for Tri-State Ob-Gyn PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.