NPIMap

Organization Active NPI

Tri-State Medical Group, Inc.

  • Family Medicine Physician
  • Monaca, PA
National Provider Identifier
1437435161
Registry record updated Oct 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TRI-STATE MEDICAL GROUP, INC.
Practice address
3468 Brodhead Rd
Monaca, PA 15061-3149
Phone
(724) 857-0591
NPI assigned
Oct 26, 2011
Last updated
Oct 26, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
HERITAGE VALLEY PRIMARY CARE-CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 26, 2011

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

Authorized official

Name
Norman F Mitry
Title
President & Ceo
Phone
(724) 773-4776

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3468 Brodhead Rd
Monaca, PA 15061-3149

Mailing address

3468 Brodhead Rd
Monaca, PA 15061-3149
Phone (724) 857-0591

National Provider Directory

National Provider Directory
Tax ID family
Tri State Medical Group92 organizations share this tax ID, including this one
Part of
Tri State Medical Group

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

3468 Brodhead Rd
Monaca, PA 15061
Phone (724) 728-3575

NPI Registry JSON

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

{
    "created_epoch": "1319587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319587200000",
    "number": "1437435161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3468 BRODHEAD RD",
            "city": "MONACA",
            "state": "PA",
            "postal_code": "150613149",
            "telephone_number": "724-857-0591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3468 BRODHEAD RD",
            "city": "MONACA",
            "state": "PA",
            "postal_code": "150613149",
            "telephone_number": "724-857-0591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-STATE MEDICAL GROUP, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HERITAGE VALLEY PRIMARY CARE-CENTER",
        "enumeration_date": "2011-10-26",
        "last_updated": "2011-10-26",
        "status": "A",
        "authorized_official_last_name": "MITRY",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "724-773-4776"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monaca, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; 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.