Organization Active NPI

Tri-County Medical Services, Inc.

  • Family Medicine Physician
  • Hartville, OH
National Provider Identifier
1467637421
Registry record updated Feb 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TRI-COUNTY MEDICAL SERVICES, INC.
Practice address
855 W Maple St
Ste 120
Hartville, OH 44632-9668
Phone
(330) 877-6613
Fax
(330) 877-6618
NPI assigned
Jan 8, 2008
Last updated
Feb 27, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2009

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

Authorized official

Name
Dr. Jean A Lang, D.O.NPI 1295835395
Title
Owner
Phone
(330) 877-6613

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OH Primary

Addresses

Primary practice location

855 W Maple St
Ste 120
Hartville, OH 44632-9668

Mailing address

855 W Maple St
Ste 120
Hartville, OH 44632-9668
Phone (330) 877-6613

Other identifiers 1

IdentifierTypeStateIssuer
0522812MedicaidOH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235692800000",
    "number": "1467637421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 W MAPLE ST",
            "address_2": "STE 120",
            "city": "HARTVILLE",
            "state": "OH",
            "postal_code": "446329668",
            "telephone_number": "330-877-6613",
            "fax_number": "330-877-6618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 W MAPLE ST",
            "address_2": "STE 120",
            "city": "HARTVILLE",
            "state": "OH",
            "postal_code": "446329668",
            "telephone_number": "330-877-6613",
            "fax_number": "330-877-6618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-COUNTY MEDICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-08",
        "last_updated": "2009-02-27",
        "status": "A",
        "authorized_official_last_name": "LANG",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-877-6613",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0522812",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2009; 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.