Tri-State Pediatric Associates, Inc

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

TRI-STATE PEDIATRIC ASSOCIATES, INC

Doing business as

TSPEDS Kasi

Practice address

3542 Brodhead Rd
Monaca, PA 15061-3126

Phone

(724) 775-9919

NPI assigned

Oct 10, 2008

Organization subpart

Yes

Parent organization

TRI-STATE PEDIATRIC ASSOCIATES, INCAs reported in NPPES

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

Authorized official

Name

Norman Mitry

Title

President & Ceo

Phone

(724) 773-4776

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• TSPEDS Kasi Doing business as

Tax ID family

Center Pediatric Associ2 organizations share this tax ID, including this one

Part of

Center Pediatric Associ

Other organizations with this tax ID 1

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

• Tri-State Pediatric Associates, Inc

  • Pediatrics Physician
  • Calcutta, OH
  • NPI 1275872038
  NPD tax ID

Locations

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

{
    "created_epoch": "1223596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223596800000",
    "number": "1881846624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3542 BRODHEAD RD",
            "city": "MONACA",
            "state": "PA",
            "postal_code": "150613126",
            "telephone_number": "724-775-9919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3542 BRODHEAD RD",
            "city": "MONACA",
            "state": "PA",
            "postal_code": "150613126",
            "telephone_number": "724-775-9919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-STATE PEDIATRIC ASSOCIATES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRI-STATE PEDIATRIC ASSOCIATES, INC",
        "enumeration_date": "2008-10-10",
        "last_updated": "2008-10-10",
        "status": "A",
        "authorized_official_last_name": "MITRY",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "724-773-4776"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2023643",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007289980010",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TSPEDS Kasi",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marcie Erin Torreance
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• Tri-State Medical Group, Inc.
• Tri-State Medical Group, Inc.
• Tri-State Pulmonary Medical Practice
• Troia Eye & Laser PC (Artistry Eyewear)
• Vincent Troia, O.D.
• Atac Turkay, M.D.
• Usv Optical Inc.

• Pediatrics Physician in Monaca, PA
• Providers in Monaca, PA by specialty
• Pediatrics Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2008; 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.