Organization Active NPI

Three Rivers Urology, P.C.

  • Urology Physician
  • Wexford, PA
National Provider Identifier
1073598801
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
THREE RIVERS UROLOGY, P.C.
Practice address
3000 Stonewood Dr
Suite 200
Wexford, PA 15090-8317
Phone
(724) 934-5520
Fax
(724) 934-5533
NPI assigned
Dec 14, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Daniel J Cole, M.D.
Title
Treasurer
Phone
(724) 934-5520

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

3000 Stonewood Dr
Suite 200
Wexford, PA 15090-8317

Mailing address

3000 Stonewood Dr
Suite 200
Wexford, PA 15090-8317
Phone (724) 934-5520

Other identifiers 3

IdentifierTypeStateIssuer
856528OtherPAHIGHMARK BLUE SHIELD
557825OtherPAAETNA
01594199MedicaidPA

National Provider Directory

National Provider Directory

Locations

4721 McKnight Rd
Ste 208
Pittsburgh, PA 15237
Phone (412) 367-7717

4721 McKnight Rd
Ste 208N
Pittsburgh, PA 15237
Phone (412) 281-6646

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073598801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 STONEWOOD DR",
            "address_2": "SUITE 200",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150908317",
            "telephone_number": "724-934-5520",
            "fax_number": "724-934-5533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 STONEWOOD DR",
            "address_2": "SUITE 200",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150908317",
            "telephone_number": "724-934-5520",
            "fax_number": "724-934-5533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE RIVERS UROLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "724-934-5520",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "856528",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "557825",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01594199",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wexford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.