Tri State Obstetrics & Gynecology

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

TRI STATE OBSTETRICS & GYNECOLOGY

Practice address

3468 Brodhead Rd Ste 12
Monaca, PA 15061-3149

Phone

(724) 728-3575

Fax

(724) 770-7964

NPI assigned

Jun 15, 2018

Organization subpart

Yes

Parent organization

TRI STATE OBSTETRICS & GYNECOLOGYAs reported in NPPES

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

Authorized official

Name

Mr. Norman F Mitry

Title

President & Ceo

Phone

(724) 773-4776

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Generations OB/GYN Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Tri State Obstetrics Gynec2 organizations share this tax ID, including this one

Part of

Tri State Obstetrics Gynec

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Tri State Obstetrics & Gynecology

  • Obstetrics & Gynecology Physician
  • Sewickley, PA
  • NPI 1649873985
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Tri State Obstetrics & Gynecology

  • Obstetrics & Gynecology Physician
  • Beaver Falls, PA
  • NPI 1568419281
  NPPES parent name

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

{
    "created_epoch": "1529020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656633600000",
    "number": "1467946285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 DUTCH RIDGE RD",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150099727",
            "telephone_number": "724-773-4776",
            "fax_number": "724-773-4726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3468 BRODHEAD RD STE 12",
            "city": "MONACA",
            "state": "PA",
            "postal_code": "150613149",
            "telephone_number": "724-728-3575",
            "fax_number": "724-770-7964"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Peartree Way",
            "address_purpose": "LOCATION",
            "city": "Beaver",
            "state": "PA",
            "postal_code": "150091954",
            "country_code": "US",
            "telephone_number": "724-728-3575",
            "fax_number": "724-770-7964",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRI STATE OBSTETRICS & GYNECOLOGY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRI STATE OBSTETRICS & GYNECOLOGY",
        "enumeration_date": "2018-06-15",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "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",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001548632",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Generations OB/GYN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Scott Stern, NP
• Morgan Summersgill, RPH
• Kylie Q Todd, MS LBS NCC
• Marcie Erin Torreance
• Tri - State Medical Group, Inc.
• Tri-State Medical Group, Inc.
• Tri-State Medical Group, Inc.
• Tri-State Pediatric Associates, Inc
• Tri-State Pulmonary Medical Practice
• Troia Eye & Laser PC

• Obstetrics & Gynecology Physician in Monaca, PA
• Providers in Monaca, PA by specialty
• Obstetrics & Gynecology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.