1497442255 NPI number — MR. TRISTAN DAVID RHOADES D.O.

Table of content: MR. TRISTAN DAVID RHOADES D.O. (NPI 1497442255)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1497442255 NPI number — MR. TRISTAN DAVID RHOADES D.O.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RHOADES
Provider First Name:
TRISTAN
Provider Middle Name:
DAVID
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
D.O.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1497442255
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/21/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3600 FORBES AVENUE
Provider Second Line Business Mailing Address:
FORBES TOWER-PLAZA LEVEL SUITE 140
Provider Business Mailing Address City Name:
PITTSBURGH
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15213
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
SHENANGO VALLEY FAMILY MEDICINE 2000 MEMORIAL DRIVE
Provider Second Line Business Practice Location Address:
SUITE B
Provider Business Practice Location Address City Name:
FARRELL
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16121
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-528-2513
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/21/2023

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 390200000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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