TRI STATE UROLOGIC SERVICES PSC INC (NPI# 1013100700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013100700 |
| Entity Type | Organization |
| Organization Name | TRI STATE UROLOGIC SERVICES PSC INC |
| Other Organization Name | THE UROLOGY GROUP |
| Practice Address |
110 N Poplar St Oxford OH 45056-1204 |
| Mailing Address |
2000 Joseph E Sanker Blvd Cincinnati OH 45212-1979 |
| Practice Telephone | 5138671100 |
| Practice Fax Number | 5138569358 |
| Mailing Telephone | 5138417400 |
| Mailing Fax Number | 5138417402 |
| Enumeration Date | 2007-08-25 |
| Last Update Date | 2012-09-20 |
| Authorized Official Name | EARL L WALZ (CEO) |
| Authorized Official Telephone | 5138417400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | RAILROAD MEDICARE | CC2433 | 01 |
| OH | 0276946 | 05 |
| Other Name | Type Code |
|---|---|
| THE UROLOGY GROUP | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699237909 | Tri State Urologic Services Psc Inc | Urology | 2123 Auburn Ave Ste 434, Cincinnati, OH 45219-2906 | 2019-04-04 |
| 1073075578 | Tri State Urologic Services Psc Inc | Urology | 7529 State Rd Ste B, Cincinnati, OH 45255-6410 | 2019-04-03 |
| 1275726580 | Tri State Urologic Services Psc Inc | Non-Pharmacy Dispensing Site | 350 Thomas More Pkwy Ste 200, Crestview Hills, KY 41017-5460 | 2007-08-20 |
| 1619200664 | Tri State Urologic Services Psc Inc | Urology | 10220 Alliance Rd, Blue Ash, OH 45242-4710 | 2009-09-09 |
| 1073746459 | Tri State Urologic Services Psc Inc | Urology | 925 Deis Dr, Fairfield, OH 45014-8130 | 2009-09-01 |
| 1164615746 | Tri State Urologic Services Psc Inc | Urology | 8020 Liberty Way, West Chester, OH 45069-2519 | 2007-08-27 |
| 1285827972 | Tri State Urologic Services Psc Inc | Urology | 4360 Ferguson Dr Ste 100, Cincinnati, OH 45245-1683 | 2007-08-25 |
| 1396938312 | Tri State Urologic Services Psc Inc | Urology | 3301 Mercy Health Blvd, Suite 525, Cincinnati, OH 45211-1104 | 2007-08-22 |
| 1083807093 | Tri State Urologic Services Psc Inc | Urology | 605 Wilson Creek Rd, Suite 01, Lawrenceburg, IN 47025-2506 | 2007-08-22 |
| 1033302054 | Tri State Urologic Services Psc Inc | Urology | 200 Medical Center Dr Ste 500, Middletown, OH 45005-5183 | 2007-08-22 |
| Street Address |
110 N POPLAR ST |
| City | OXFORD |
| State | OH |
| Zip Code | 45056-1204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427057074 | Oxford Radiology Inc | Specialist | 110 N Poplar St, Oxford, OH 45056-1204 | 2005-07-16 |
| 1578923124 | Dorionne Whitaker | Nurse Practitioner | 110 N Poplar St, Oxford, OH 45056-1204 | 2016-02-24 |
| 1669860565 | Trihealth G., LLC | Allergy & Immunology | 110 N Poplar St, Oxford, OH 45056-1204 | 2014-12-30 |
| 1386056331 | Mccullough-hyde Memorial Hospital, Inc. | Internal Medicine | 110 N Poplar St, Mccullough-hyde Rheumatology, Oxford, OH 45056-1204 | 2014-05-27 |
| 1013335314 | Mccullough-hyde Memorial Hospital, Inc. | Internal Medicine | 110 N Poplar St, Patient Accounts - Oncology, Oxford, OH 45056-1204 | 2014-04-03 |
| 1427329895 | Bryan R Barger | Nurse Anesthetist, Certified Registered | 110 N Poplar St, Oxford, OH 45056 | 2012-01-18 |
| 1588996524 | Nicole Marie White Malin | Emergency Medicine | 110 N Poplar St, Oxford, OH 45056-1204 | 2010-02-01 |
| 1568795839 | Michelle Beth Miller | Nurse Anesthetist, Certified Registered | 110 N Poplar St, Anesthesia Dept, Oxford, OH 45056-1204 | 2009-09-17 |
| 1275785008 | Emily A. Gerberick-douglass | Specialist | 110 N Poplar St, 5151 Morning Sun Road, Suite B, Oxford, OH 45056-1204 | 2008-10-10 |
| 1366614158 | Reid Hospital & Health Care Services Inc | Internal Medicine | 110 N Poplar St, Oxford, OH 45056-1204 | 2008-04-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952949695 | Joseph Barbetta | Specialist/Technologist | Weeb Ewbank Way, Oxford, OH 45056 | 2019-12-12 |
| 1568914596 | Devyn Jo Wilson | Student in an Organized Health Care Education/Training Program | 144 Yager Stadium, Oxford, OH 45056 | 2016-10-25 |
| 1538548185 | Linda Dingledine | Registered Nurse | 5301 University Park Blvd, Oxford, OH 45056 | 2015-05-28 |
| 1003200783 | Mary Elizabeth Ankrom | Specialist/Technologist | 501 E. High St., Oxford, OH 45056 | 2015-03-20 |
| 1902243454 | Alex Dolgov | Dentist | 474 S. Locust Street, Oxford, OH 45056 | 2013-05-23 |
| 1447577929 | Holly Anne Larson | Dietitian, Registered | 5176 Morning Sun Rd, Suite 1, Oxford, OH 45056 | 2010-04-23 |
| 1972718542 | Kip Charles Alishio | Psychologist | 195 Health Services Building, Miami University, Oxford, OH 45056 | 2007-05-14 |
| 1861550154 | Deborah Schindler | Dentist | 117 E Walnut Street, Oxford, OH 45056 | 2006-12-05 |
| 1821197880 | Terri Lynn Jones | Psychologist | 44 Autumn Dr, Oxford, OH 45056 | 2006-09-22 |
| 1386747095 | Ohio Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 123 W Spring St, Oxford, OH 45056 | 2006-09-07 |
| Find all providers in zip 45056 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073682035 | Doyle Land Renfroe | Urology | 1201 Medical Park Dr, Oxford, MS 38655-5327 | 2006-11-06 |
| 1588766125 | Richard M Roach | Urology | 12109 County Road 103 Ste 2, Oxford, FL 34484 | 2006-09-03 |
| 1023447935 | Advanced Urology Institute, LLC | Urology | 12109 County Road 103, Oxford, FL 34484-2951 | 2013-11-01 |
| 1336380708 | Granville Health Inc | Urology | 102 Professional Park, Suite C, Oxford, NC 27565-2501 | 2009-03-16 |
| 1598921892 | Brent Montague Hardin | Urology | 1201 Medical Park Dr, Oxford, MS 38655-5327 | 2008-08-06 |
| 1508032517 | Urology of Oxford | Urology | 2166 S Lamar Blvd, Oxford, MS 38655-5224 | 2008-04-30 |
| 1053599696 | Central Florida Urology Specialists | Urology | 12109 Cr 103, Oxford, FL 34484-2967 | 2008-02-06 |
| 1790973915 | Joseph Charles Zola Jr. | Urology | 102 Professional Park, Suite C, Oxford, NC 27565-2501 | 2007-10-12 |
| 1770771743 | Joshua Grant Griffin | Urology | 2168 S Lamar Blvd, Oxford, MS 38655-5224 | 2007-10-04 |
| 1376747162 | Saumilkumar S. Karavadia | Urology | 12109 Cr 103, Oxford, FL 34484 | 2007-06-13 |
| Find all providers in OXFORD | ||||
Please comment or provide details below to improve the information on TRI STATE UROLOGIC SERVICES PSC INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.