Tri-State Ob-Gyn PC
NPI 1063510204 · Obstetrics & Gynecology Physician · Bullhead City, AZ
Tri-State Ob-Gyn PC is a Obstetrics & Gynecology Physician organization in Bullhead City, AZ (NPI 1063510204).
Provider details
- NPI number
- 1063510204
- Entity type
- Organization
- Primary specialty
- Obstetrics & Gynecology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Theodore London, President(928) 704-2229
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-09-20
- Last updated
- 2020-08-22
Frequently asked questions
- What is Tri-State Ob-Gyn PC's NPI number?
- Tri-State Ob-Gyn PC's National Provider Identifier (NPI) is 1063510204, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tri-State Ob-Gyn PC?
- Tri-State Ob-Gyn PC is classified in the NPPES registry as Obstetrics & Gynecology Physician (Allopathic & Osteopathic Physicians).
- Where is Tri-State Ob-Gyn PC located?
- Tri-State Ob-Gyn PC's practice location on file with NPPES is 3003 Highway 95, Bullhead City, AZ 86442-7860.
- What is Tri-State Ob-Gyn PC's phone number?
- The practice phone number listed in the NPPES registry for Tri-State Ob-Gyn PC is (928) 704-2229.
- Who is the authorized official for Tri-State Ob-Gyn PC?
- The authorized official listed on Tri-State Ob-Gyn PC's NPPES record is Theodore London, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tri-State Ob-Gyn PC's NPI active?
- Yes — Tri-State Ob-Gyn PC's NPI (1063510204) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.