Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Tristate Medical Specialists LLC

Organization Pain Medicine (Anesthesiology) Physician · NPI 1356706774

Tristate Medical Specialists LLC provides Pain Medicine (Anesthesiology) Physician services 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.

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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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