Organization Active NPI

Stephen Dona, D. O.

Doing business as Tri-County Urology

  • Pediatric Urology Physician
  • Centerville, OH
National Provider Identifier
1952445637
Registry record updated Jun 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Urology PhysicianTaxonomy code 2088P0231X
Legal business name
STEPHEN DONA, D. O.
Doing business as
Tri-County Urology
Practice address
8934 Kingsridge Dr
Ste 102
Centerville, OH 45458-1626
Phone
(937) 439-6242
Fax
(937) 439-6245
NPI assigned
Feb 16, 2007
Last updated
Jun 11, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2013

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

Authorized official

Name
Stephen L Dona, D.O.NPI 1649257536
Title
Owner
Phone
(937) 439-6242

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Urology Physician 2088P0231X NU Primary

Addresses

Primary practice location

8934 Kingsridge Dr
Ste 102
Centerville, OH 45458-1626

Mailing address

8934 Kingsridge Dr
Ste 102
Centerville, OH 45458-1633
Phone (937) 439-6242

Other identifiers 2

IdentifierTypeStateIssuer
0741960MedicaidOH
0059556MedicaidOH

Other names 1

  • TRI-COUNTY UROLOGY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040618000904 OH Part B Supplier - Clinic/Group Practice 4587649256 Receives reassigned benefits from 2 practitioners
Practice locations: Eaton, OH; Huber Heights, OH; Centerville, OH

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0895609Tri-County Urology8934 Kingsridge Dr Suite 102, Centerville, OH 45458Certificate of waiverMar 25, 2027

National Provider Directory

National Provider Directory

Locations

8701 Troy Pike
Ste 108
Dayton, OH 45424

8701 Troy Pike
Ste 202
Dayton, OH 45424

8934 Kingsridge Dr
Dayton, OH 45458
Phone (947) 999-4023

8934 Kingsridge Dr
Ste 102
Dayton, OH 45458
Phone (937) 439-6242

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370908800000",
    "number": "1952445637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8934 KINGSRIDGE DR",
            "address_2": "STE 102",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454581633",
            "telephone_number": "937-439-6242",
            "fax_number": "937-439-6245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8934 KINGSRIDGE DR",
            "address_2": "STE 102",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454581626",
            "telephone_number": "937-439-6242",
            "fax_number": "937-439-6245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN DONA, D. O.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2013-06-11",
        "status": "A",
        "authorized_official_last_name": "DONA",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-439-6242",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2088P0231X",
            "taxonomy_group": "",
            "desc": "Urology, Pediatric Urology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0741960",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0059556",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TRI-COUNTY UROLOGY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Centerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.