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Tristate Medical Specialists LLC

Pain Medicine Physician in Lake Havasu City, AZ · enumerated 2015 · authorized official Joann Venger, Owner/Member Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1356706774

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Registry record

Entity type Organization (Type 2)
Legal business name Tristate Medical Specialists LLC
Other name <Unavail>
Practice address 1987 Mcculloch Blvd N, Lake Havasu City, AZ, 86403
Phone (928) 788-3333
Fax (928) 788-3555
Enumeration date Dec 30, 2015
Last updated in NPPES Jul 19, 2022

Taxonomy & classification

207LP2900X Pain Medicine (Anesthesiology) Physician Allopathic & Osteopathic Physicians Secondary
207T00000X Neurological Surgery Physician Allopathic & Osteopathic Physicians · License 20605 (AZ) Secondary
2081P2900X Pain Medicine (Physical Medicine & Rehabilitation) Physician Allopathic & Osteopathic Physicians Secondary
208VP0000X Pain Medicine Physician Allopathic & Osteopathic Physicians · License 20605 (AZ) Secondary
208VP0000X Pain Medicine Physician Allopathic & Osteopathic Physicians Primary
208VP0014X Interventional Pain Medicine Physician Allopathic & Osteopathic Physicians Secondary
363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License AP3760 (AZ) Secondary

Authorized official

Name Joann Venger
Title Owner/Member Manager
Phone (928) 788-3333

Other identifiers

Identifier Type State Issuer
615056800 Other - DOL
079972 Medicaid AZ -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Tristate Medical Specialists LLC?
The NPI for Tristate Medical Specialists LLC is 1356706774, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Tristate Medical Specialists LLC?
NPPES lists Joann Venger (Owner/Member Manager) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-07-19.