Organization Active NPI

Tri-State Pulmonary Associates, Inc.

  • Critical Care Medicine (Internal Medicine) Physician
  • Cincinnati, OH
National Provider Identifier
1891731261
Registry record updated Aug 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
Legal business name
TRI-STATE PULMONARY ASSOCIATES, INC.
Practice address
2123 Auburn Ave
Suite 401
Cincinnati, OH 45219-2906
Phone
(513) 241-5489
Fax
(513) 241-9206
NPI assigned
Jun 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2011

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

Authorized official

Name
Ms. Marilyn J Orr
Title
Practice Manager/Administrator
Phone
(513) 241-5489

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RC0200X Primary
Pulmonary Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RP1001X

Addresses

Primary practice location

2123 Auburn Ave
Suite 401
Cincinnati, OH 45219-2906

Mailing address

2123 Auburn Ave
Suite 401
Cincinnati, OH 45219-2906
Phone (513) 241-5489

Other identifiers 3

IdentifierTypeStateIssuer
200102160AMedicaidIN
65928566MedicaidKY
0107913MedicaidOH

National Provider Directory

National Provider Directory

Locations

5885 Harrison Ave
Ste 3300
Cincinnati, OH 45248
Phone (513) 241-5489

2123 Auburn Ave
Ste 401
Cincinnati, OH 45219
Phone (513) 241-5489

2123 Auburn Ave
#100
Cincinnati, OH 45219

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314057600000",
    "number": "1891731261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2123 AUBURN AVE",
            "address_2": "SUITE 401",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192906",
            "telephone_number": "513-241-5489",
            "fax_number": "513-241-9206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2123 AUBURN AVE",
            "address_2": "SUITE 401",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192906",
            "telephone_number": "513-241-5489",
            "fax_number": "513-241-9206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-STATE PULMONARY ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2011-08-23",
        "status": "A",
        "authorized_official_last_name": "ORR",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRACTICE MANAGER/ADMINISTRATOR",
        "authorized_official_telephone_number": "513-241-5489",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200102160A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65928566",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0107913",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.