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

Tristate Medical Specialists LLC

Organization Pain Medicine (Anesthesiology) Physician · NPI 1356706774

Tristate Medical Specialists LLC is a Pain Medicine (Anesthesiology) Physician in Lake Havasu City, Arizona. Licensed in Arizona. Registered with an NPI since 2015.

Licensed in
AZ
In the registry since
2015
Specialties on file
7
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

1987 McCulloch Blvd N
Lake Havasu City, AZ 86403-5682
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)
Pain Medicine (Physical Medicine & Rehabilitation) Physician Taxonomy 2081P2900X
Pain Medicine Physician Taxonomy 208VP0000X · Licence 20605 (AZ)
Interventional Pain Medicine Physician Taxonomy 208VP0014X
Nurse Practitioner Taxonomy 363L00000X · Licence AP3760 (AZ)

Record details

NPI number1356706774
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joann Venger — Owner/Member Manager · (928) 788-3333
Other names Tristate Pain Institute; Tristate Pain Institute
NPI enumeratedDecember 30, 2015
Last updated in NPPESJuly 19, 2022
Certification dateJuly 19, 2022
Mailing addressPo Box 10966, Fort Mohave, AZ 86427-0966

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