Tri State Gynecology Inc

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

TRI STATE GYNECOLOGY INC

Practice address

690 State Ave
Beaver, PA 15009-9501

Phone

(724) 774-4546

Fax

(724) 774-9007

NPI assigned

May 28, 2006

Last updated

Oct 30, 2007By the provider in NPPES

Organization subpart

No

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 and Ceo

Phone

(724) 773-4779

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Gail Janet Shumway, M.D.

  • Emergency Medicine Physician
  • Beaver, PA
  • NPI 1083650055
  NPD (past)

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193702400000",
    "number": "1831146505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 PEARTREE WAY",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150091954",
            "telephone_number": "724-728-4171",
            "fax_number": "724-728-2019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 STATE AVE",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150099501",
            "telephone_number": "724-774-4546",
            "fax_number": "724-774-9007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI STATE GYNECOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2007-10-30",
        "status": "A",
        "authorized_official_last_name": "MITRY",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "724-773-4779",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1010070720001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trautman Chiropractic & Spinal Rehabilitation LLC
• Michael Z Trautman, D.C.
• Craig Cargill Trent, MD
• Tri - State Medical Group, Inc.
• Tri - State Medical Group, Inc.
• Tri-State Medical Group (Heritage Valley Endocrinology Beaver)
• Tri-State Medical Group, Inc (Convenient Care Center-Beaver)
• Tri-State Medical Group, Inc. (Heritage Valley Rehabilitation Medicine Beaver)
• Tri-State Pulmonary Medicine, LTD.
• Tristate Surgical Associates

• Obstetrics & Gynecology Physician in Beaver, PA
• Providers in Beaver, 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 Oct 30, 2007; 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.