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TRI-STATE SURGICAL ASSOCIATES
NPI 1356622583
Physician Assistant - Surgical in Fairfax, VA

Active since September 01, 2011
10332 MAIN ST # 344, FAIRFAX, VA 22030(571) 244-4684 Get Directions Write a Review

NPPES record last updated: February 22, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tri-state Surgical Associates NPPES

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

TRI-STATE SURGICAL ASSOCIATES (NPI 1356622583) is a healthcare organization registered as a surgical in Fairfax, Virginia and active in the NPI registry since September 2011. The organization lists Carlos Meza-valencia, Owner, President, as its authorized official.

NPPES Registry Identity

NPI1356622583
Entity TypeOrganization
Primary Taxonomy363AS0400X
Legal Business NameTRI-STATE SURGICAL ASSOCIATES
Location Address10332 MAIN ST # 344Fairfax, VA 22030-2410
Mailing Address10332 Main St # 344Fairfax, VA 22030-2410 · (571) 244-4684
Phone(571) 244-4684
Organization SubpartNo
Authorized OfficialCarlos Meza-valenciaOwner, President · (571) 244-4684
Enumeration DateSeptember 1, 2011
Last NPPES UpdateFebruary 22, 2014
✔ NPI 1356622583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
10332 MAIN ST # 344, Fairfax, VA 22030
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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 2

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

KORTNEY JAMAL RICHARDSON READUS
Specialist/Technologist, Other (Surgical Assistant)
10332 MAIN ST # 344
FAIRFAX, VA 22030
Fairfax City (815) 272-6652
LOUIS KALISCH SA-C
Physician Assistant (Surgical)
10332 MAIN ST # 344
FAIRFAX, VA 22030
Fairfax City (571) 309-9768

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 Surgical Associates's NPI number?

The NPI number for Tri-State Surgical Associates is 1356622583. It was assigned to this organization in the NPPES registry on September 1, 2011.

Where is Tri-State Surgical Associates located?

Tri-State Surgical Associates is located at 10332 Main St # 344, Fairfax, VA 22030. The listed phone number is (571) 244-4684.

What is Tri-State Surgical Associates's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Tri-State Surgical Associates was last updated on February 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.