Tri-State Urology

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

02625 Issued in KY

Legal business name

TRI-STATE UROLOGY

Practice address

255 Church St
Ste. 202
Pikeville, KY 41501-3476

Phone

(606) 437-9550

Fax

(606) 437-9510

NPI assigned

Jan 19, 2007

Organization subpart

No

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

Authorized official

Name

Mark Joseph Swofford, D.O.NPI 1245238484

Title

President Physician

Phone

(606) 437-9550

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

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

• Mark J Swofford, DO

  • Urology Physician
  • Pikeville, KY
  • NPI 1245238484
  NPD Authorized official
• Brett Darrell Akers, D.O.

  • Urology Physician
  • London, KY
  • NPI 1639162340
  NPD (past)

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285027200000",
    "number": "1356494876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2438",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415022438",
            "telephone_number": "606-437-9550",
            "fax_number": "606-437-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 CHURCH ST",
            "address_2": "STE. 202",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415013476",
            "telephone_number": "606-437-9550",
            "fax_number": "606-437-9510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-STATE UROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2010-09-21",
        "status": "A",
        "authorized_official_last_name": "SWOFFORD",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT PHYSICIAN",
        "authorized_official_telephone_number": "606-437-9550",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "KY",
            "license": "02625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65935009",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1245238484",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Total Renal Care Inc
• Toxperts, LLC
• TPC Johns Creek Inc
• Kelsey Rene Trast
• Tri-State Sports and Rehab, PSC
• Hayley Danielle Trimble, MD
• John M Triplett, D.O.
• Trivette Family Care
• Maurice Michael Trivette, M.D.
• Tara Trusty

• Urology Physician in Pikeville, KY
• Providers in Pikeville, KY by specialty
• Urology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2010; 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.