TRISTATE PAIN INSTITUTE
NPI 1356706774
Pain Medicine - Pain Medicine in Lake Havasu City, AZ

Q: What is Tristate Medical Specialists LLC's NPI number?

The NPI number for Tristate Medical Specialists LLC is 1356706774. It was assigned to this organization in the NPPES registry on December 30, 2015. The provider is doing business as Tristate Pain Institute.

Q: What is Tristate Medical Specialists LLC's specialty?

The primary specialty registered for this NPI is Pain Medicine with taxonomy code 208VP0000X.

Active since December 30, 2015

1987 MCCULLOCH BLVD N, LAKE HAVASU CITY, AZ 86403(928) 788-3333(928) 788-3555 Get Directions Write a Review

NPPES record last updated: July 19, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 19, 2022, Sep 13, 2018, Dec 30, 2015 (3 updates tracked since 2015).

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About Tristate Pain Institute NPPES

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

TRISTATE PAIN INSTITUTE (NPI 1356706774) is a healthcare organization registered as a pain medicine in Lake Havasu City, Arizona and active in the NPI registry since December 2015. The organization lists Joann Venger, Owner/member Manager, as its authorized official.

NPPES Registry Identity

NPI1356706774

Entity TypeOrganization

Primary Taxonomy208VP0000X

Legal Business NameTRISTATE MEDICAL SPECIALISTS LLC

Location Address1987 MCCULLOCH BLVD NLake Havasu City, AZ 86403-5682

Mailing AddressPo Box 10966Fort Mohave, AZ 86427-0966 · (928) 788-3333 · Fax (928) 788-3555

Phone(928) 788-3333

Fax(928) 788-3555

Organization SubpartNo

Authorized OfficialJoann VengerOwner/member Manager · (928) 788-3333

Enumeration DateDecember 30, 2015

Last NPPES UpdateJuly 19, 20223 updates tracked since enumeration

NPPES CertifiedJuly 19, 2022

✔ NPI 1356706774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyPain Medicine · Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code208VP0000X

License✔ Licensed in AZ · 20605

Definition

Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies.

Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X

Also ListedNeurological SurgeryTaxonomy 207T00000X · License 20605 (AZ)

Also ListedPhysical Medicine & Rehabilitation · Pain MedicineTaxonomy 2081P2900X

Also ListedPain Medicine · Interventional Pain MedicineTaxonomy 208VP0014X

Also ListedNurse PractitionerTaxonomy 363L00000X · License AP3760 (AZ)

1987 MCCULLOCH BLVD N, Lake Havasu City, AZ 86403

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Other Names 1

Doing Business AsTristate Pain Institute

Other Identifiers 2

Medicaid079972AZ

Other615056800Dol

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

MS. STEPHANIE LOUISE HERRICK FNP

Nurse Practitioner (Family)

1987 MCCULLOCH BLVD N, STE 101
LAKE HAVASU CITY, AZ 86403

Mohave County (928) 453-6963

FOCUS OPTICAL, LLC

Non-Pharmacy Dispensing Site

1987 MCCULLOCH BLVD N, SUITE #108
LAKE HAVASU CITY, AZ 86403

Mohave County (928) 453-3777

BLUE WATER INTERNAL MEDICINE ASSOCIATES PC

Internal Medicine

1987 MCCULLOCH BLVD N, SUITE 101
LAKE HAVASU CITY, AZ 86403

Mohave County (928) 453-6963

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 Tristate Medical Specialists LLC's NPI number?

The NPI number for Tristate Medical Specialists LLC is 1356706774. It was assigned to this organization in the NPPES registry on December 30, 2015. The provider is doing business as Tristate Pain Institute.

Where is Tristate Medical Specialists LLC located?

Tristate Medical Specialists LLC is located at 1987 Mcculloch Blvd N, Lake Havasu City, AZ 86403. The listed phone number is (928) 788-3333.

What is Tristate Medical Specialists LLC's specialty?

The primary specialty registered for this NPI is Pain Medicine with taxonomy code 208VP0000X.

When was this NPI record last updated?

The NPPES record for Tristate Medical Specialists LLC was last updated on July 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.