Tri State Urologic Services PSC Inc
Organization Active NPI Urology Physician · Cincinnati, OH
NPI 1912729005 · NPPES record last updated Oct 29, 2024
Key facts
- NPI
- 1912729005
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urology Physician 208800000X
- Legal business name
- TRI STATE UROLOGIC SERVICES PSC INC
- Practice address
- 4746 Montgomery Rd
Cincinnati, OH 45212-2622 - Phone
- (513) 841-7400
- NPI assigned
- Oct 29, 2024
- Organization subpart
- No
Authorized official
- Name
- Janis Ruth Osborne
- Title
- Manager
- Phone
- (513) 841-7466
Other NPIs on the same Medicare enrollment 11
Corporate family (same tax ID) 9
Practitioners 89
-
Jennifer Lisette Bennett, M.D.
-
Matthew H Bertke, M.D.
-
Aaron L Bey, M.D.
-
Emily Brookbank, PA-C
-
Kevin G Campbell, MD
-
Michelle Lynn Davis, CNP
-
Douglas E Feeney, MD
-
Lindsey Madison Flanagan, APRN
-
Ryan Malloy Flynn, M.D.
-
John Frankel, PA
-
Peter R Fried, MD
-
Mary Virginia Garrett, PA-C
-
George Edward Guju Jr., AGACNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031118000285 | OH | Part B Supplier - Clinic/Group Practice | 6204740889 |
Receives reassigned benefits from 87 practitioners 26 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Wilmington, OH; West Chester, OH; Oxford, OH; Middletown, OH; Hamilton, OH; Fairfield, OH; Cincinnati, OH; Blue Ash, OH |
National Provider Directory
- Tax ID family
- Tri State Urologic Serv
Locations
605 Wilson Creek Rd
Ste 1
Lawrenceburg, IN 47025
Phone (513) 574-5400
651 Centre View Blvd
Crestview Hills, KY 41017
Phone (859) 341-6660
7388 Turfway Rd
Ste 108
Florence, KY 41042
Phone (859) 371-5600
85 N Grand Ave
Fort Thomas, KY 41075
Phone (859) 572-3100
40 N Grand Ave
Ste 104
Fort Thomas, KY 41075
Phone (606) 441-0800
10475 Reading Rd
Ste 206
Cincinnati, OH 45241
Phone (513) 250-4242
2123 Auburn Ave
Ste 201
Cincinnati, OH 45219
Phone (513) 206-1170
2450 Kipling Ave
Ste 101
Cincinnati, OH 45239
Phone (513) 542-5142
2859 Boudinot Ave
Ste 206
Cincinnati, OH 45238
Phone (513) 662-0222
4420 Aicholtz Rd
Ste 120
Cincinnati, OH 45245
Phone (513) 732-6200
4746 Montgomery Rd
Cincinnati, OH 45212
Phone (513) 731-5600
7529 State Rd
Ste B
Cincinnati, OH 45255
Phone (513) 232-6600
925 Deis Dr
Fairfield, OH 45014
Phone (513) 841-7900
10450 New Haven Rd
Ste 1
Harrison, OH 45030
Phone (513) 451-7400
10550 Montgomery Rd
Ste 24
Montgomery, OH 45242
Phone (513) 793-2835
10700 Montgomery Rd
Ste 319
Montgomery, OH 45242
Phone (513) 793-2835
8020 Liberty Way
West Chester, OH 45069
Phone (513) 777-8300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician |
2085R0204X | |||
| Urology Physician |
208800000X | Yes |
Addresses
Primary practice location
4746 Montgomery Rd
Cincinnati, OH 45212-2622
Mailing address
PO Box 738291
Dallas, TX 75373-8291
Other names
- The Urology Group
Other providers in Cincinnati, OH
- Tri State Urologic Services PSC Inc
- Tri State Urologic Services PSC Inc
- Tri State Urologic Services PSC Inc
- Tri State Urologic Services PSC Inc
- Tri State Urologic Services PSC Inc
- Tri State Urologic Services PSC, Inc
- Tri-State Centers for Sight Inc
- Tri-State Centers for Sight Inc
- Tri-State Centers for Sight Inc
- Tri-State Centers for Sight Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 29, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.