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TRISTATE PAIN INSTITUTE
NPI 1649598426
Pain Medicine - Pain Medicine in Fort Mohave, AZ

Active since May 04, 2010
1510 E WAGON WHEEL LN STE 110, FORT MOHAVE, AZ 86426(928) 788-3333(928) 788-3555 Get Directions Write a Review

NPPES record last updated: October 12, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 12, 2023, Jul 19, 2022, Sep 13, 2018 and 3 more (6 updates tracked since 2016).

About Tristate Pain Institute NPPES

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

TRISTATE PAIN INSTITUTE (NPI 1649598426) is a healthcare organization registered as a pain medicine in Fort Mohave, Arizona and active in the NPI registry since May 2010. The organization lists Knaya Tabora, Owner/member Manager, as its authorized official.

NPPES Registry Identity

NPI1649598426
Entity TypeOrganization
Primary Taxonomy208VP0000X
Legal Business NameTRI-STATE MEDICAL SPECIALISTS LLC
Location Address1510 E WAGON WHEEL LN STE 110Fort Mohave, AZ 86426-6698
Mailing Address1510 E Wagon Wheel Ln Ste 110Fort Mohave, AZ 86426-6698 · (928) 788-3333 · Fax (928) 788-3555
Phone(928) 788-3333
Fax(928) 788-3555
Organization SubpartNo
Authorized OfficialKnaya TaboraOwner/member Manager · (928) 788-3333
Enumeration DateMay 4, 2010
Last NPPES UpdateOctober 12, 20236 updates tracked since enumeration
NPPES CertifiedOctober 12, 2023
✔ NPI 1649598426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyPain Medicine · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0000X
Licenses✔ Licensed in AZ · 20605✔ Licensed in NV · 5573
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), 5573 (NY)
Also ListedPhysical Medicine & Rehabilitation · Pain MedicineTaxonomy 2081P2900X
Also ListedPain Medicine · Interventional Pain MedicineTaxonomy 208VP0014X
Also ListedNurse PractitionerTaxonomy 363L00000X · License AP8599 (AZ), AP3760 (AZ)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License AP8599 (AZ)
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License AP8599 (AZ)
1510 E WAGON WHEEL LN STE 110, Fort Mohave, AZ 86426
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Other Names 1

Doing Business AsTristate Pain Institute

Other Identifiers 2

Medicaid527366AZ
OtherDQ4807AZ · Medicare Railroad Group Pin

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.Insurance ›

Other Providers at the Same Location NPPES 4

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

OKEY ILOEGBUNAM FNP
Nurse Practitioner
1510 E WAGON WHEEL LN STE 110
FORT MOHAVE, AZ 86426
Mohave County (928) 788-3333
WILLIAM R KELLEY MD PROF CORP
Radiology (Diagnostic Radiology)
1510 E WAGON WHEEL LN STE 110
FORT MOHAVE, AZ 86426
Mohave County (928) 788-3333
DR. NITISH AGGARWAL MD/MBA
Pain Medicine (Interventional Pain Medicine)
1510 E WAGON WHEEL LN STE 110
FORT MOHAVE, AZ 86426
Mohave County (928) 788-3333
DR. RHENAND MENDOZA PT, DPT
Physical Therapist
1510 E WAGON WHEEL LN STE 110
FORT MOHAVE, AZ 86426
Mohave County (928) 248-0444

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 Medical Specialists LLC's NPI number?

The NPI number for Tri-State Medical Specialists LLC is 1649598426. It was assigned to this organization in the NPPES registry on May 4, 2010.

Where is Tri-State Medical Specialists LLC located?

Tri-State Medical Specialists LLC is located at 1510 E Wagon Wheel Ln Ste 110, Fort Mohave, AZ 86426. The listed phone number is (928) 788-3333.

What is Tri-State Medical Specialists LLC's specialty?

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

What insurance does Tri-State Medical Specialists LLC accept?

Health plans from Ambetter from Arizona Complete Health list Tri-State Medical Specialists LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tri-State Medical Specialists LLC was last updated on October 12, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.