Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tri-State Medical Specialists LLC

Organization Pain Medicine (Anesthesiology) Physician · NPI 1649598426

Tri-State Medical Specialists LLC is a Pain Medicine (Anesthesiology) Physician in Fort Mohave, Arizona. Licensed in Arizona, Nevada and New York. Registered with an NPI since 2010.

Licensed in
AZ, NV, NY
In the registry since
2010
Specialties on file
12
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1510 E Wagon Wheel Ln Ste 110
Fort Mohave, AZ 86426-6698
Phone: (928) 788-3333
Fax: (928) 788-3555
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine Physician (primary) Taxonomy 208VP0000X
Pain Medicine (Anesthesiology) Physician Taxonomy 207LP2900X
Neurological Surgery Physician Taxonomy 207T00000X · Licence 20605 (AZ)
Neurological Surgery Physician Taxonomy 207T00000X · Licence 5573 (NY)
Pain Medicine (Physical Medicine & Rehabilitation) Physician Taxonomy 2081P2900X
Pain Medicine Physician Taxonomy 208VP0000X · Licence 20605 (AZ)
Pain Medicine Physician Taxonomy 208VP0000X · Licence 5573 (NV)
Interventional Pain Medicine Physician Taxonomy 208VP0014X
Nurse Practitioner Taxonomy 363L00000X · Licence AP8599 (AZ)
Nurse Practitioner Taxonomy 363L00000X · Licence AP3760 (AZ)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence AP8599 (AZ)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence AP8599 (AZ)

Record details

NPI number1649598426
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Knaya Tabora — Owner/Member Manager · (928) 788-3333
Other names Tristate Pain Institute; Tristate Pain Institute
NPI enumeratedMay 4, 2010
Last updated in NPPESOctober 12, 2023
Certification dateOctober 12, 2023
Mailing address1510 E Wagon Wheel Ln Ste 110, Fort Mohave, AZ 86426-6698

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