Active NPI
Three Rivers Urology, P.C.
- Urology Physician
- Wexford, PA
National Provider Identifier
1073598801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 856528 | Other | PA | HIGHMARK BLUE SHIELD |
| 557825 | Other | PA | AETNA |
| 01594199 | Medicaid | PA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Urology Physician
- Wexford, PA
- NPI 1508842030
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.