TRI STATE UROLOGIC SERVICES PSC INC (NPI# 1285827972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285827972 |
| Entity Type | Organization |
| Organization Name | TRI STATE UROLOGIC SERVICES PSC INC |
| Other Organization Name | THE UROLOGY GROUP |
| Practice Address |
4360 Ferguson Dr Ste 100 Cincinnati OH 45245-1683 |
| Mailing Address |
2000 Joseph E Sanker Blvd Cincinnati OH 45212-1979 |
| Practice Telephone | 5138417750 |
| Practice Fax Number | 5138417751 |
| Mailing Telephone | 5138417400 |
| Mailing Fax Number | 5138417402 |
| Enumeration Date | 2007-08-25 |
| Last Update Date | 2020-01-13 |
| 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 |
| 1013100700 | Tri State Urologic Services Psc Inc | Urology | 110 N Poplar St, Oxford, OH 45056-1204 | 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 |
4360 FERGUSON DR STE 100 |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45245-1683 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114967973 | Philip J Buffington | Urology | 4360 Ferguson Dr Ste 100, Cincinnati, OH 45245-1683 | 2006-06-08 |
| 1770826695 | Paurush Babbar | Urology | 4360 Ferguson Dr Ste 100, Cincinnati, OH 45245-1683 | 2013-03-28 |
| 1104142389 | Brian Joseph Minnillo | Urology | 4360 Ferguson Dr Ste 100, Cincinnati, OH 45245-1683 | 2010-04-13 |
| 1801053483 | Aaron L Bey | Urology | 4360 Ferguson Dr Ste 100, Cincinnati, OH 45245-1683 | 2008-05-21 |
| 1851328660 | Michael B Rousseau | Urology | 4360 Ferguson Dr Ste 100, Cincinnati, OH 45245-1683 | 2006-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437797792 | Nguyen Dentists of Eastgate, PC, Inc | Dentist | 880 Eastgate North Dr., Suite 101, Cincinnati, OH 45245 | 2019-12-18 |
| 1245871896 | Jacqueline Marie Dunker | Pharmacist | Walmart Pharmacy 1443, 4370 Eastgate Square Drive, Cincinnati, OH 45245 | 2019-10-04 |
| 1134785389 | Cei Physicians P.s.c., LLC | Clinic/Center | 601 Ivy Gateway, Suite 302, Cincinnati, OH 45245 | 2019-05-14 |
| 1225507551 | Imaging Support Services Inc | Clinic/Center | 4244 Aicholtz Road Suite D, Cincinnati, OH 45245 | 2018-11-15 |
| 1902387335 | Sarah Joy Martinez | Occupational Therapy Assistant | 4300 Glen Este-withamsville Rd, Cincinnati, OH 45245 | 2018-08-23 |
| 1376051979 | Starline Investments Inc | Ambulance | 3226 Omni Dr, Cincinnati, OH 45245 | 2018-01-17 |
| 1255842084 | Trilogy Healthcare of Clermont, LLC | Skilled Nursing Facility | 4300 Gleneste-withamsville Road, Cincinnati, OH 45245 | 2017-10-19 |
| 1467974303 | Christabel Ngwepegue Nyam | Licensed Practical Nurse | 4110 Long Acres Dr, Cincinnati, OH 45245 | 2017-07-12 |
| 1518493683 | Melody Sue King | Nursing Facility/Intermediate Care Facility | 822 Youngs Lane, Cincinnati, OH 45245 | 2017-05-10 |
| 1558715789 | Yael Joseph Garcia | Dentist | 880 Eastgate N Dr., Ste 101, Cincinnati, OH 45245 | 2016-04-13 |
| Find all providers in zip 45245 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1497199038 | Richard George Wendel | Urology | 6722 Hammerstone Way, Cincinnati, OH 45227 | 2013-04-25 |
| 1386953289 | Cincinnati Evaluation & Management Inc | Urology | 7691 Beechmont Ave, Cincinnati, OH 45255-4216 | 2010-09-27 |
| 1316182157 | Cambridge Medical of Cleveland, LLC | Urology | 11427 Reed Hartman Hwy # 218, Cincinnati, OH 45241-2418 | 2008-12-09 |
| 1053337691 | Emmett E O'neal Md PC | Urology | 3009 Clifton Ave, Cincinnati, OH 45220-2403 | 2006-07-15 |
| 1821030925 | David R Aronoff | Urology | 7895 Willowridge Ln, Cincinnati, OH 45237-1811 | 2006-06-12 |
| 1700828449 | Joseph A Creevy | Urology | 4700 Smith Rd, Suite L, Cincinnati, OH 45212-2787 | 2006-06-10 |
| 1114967973 | Philip J Buffington | Urology | 4360 Ferguson Dr Ste 100, Cincinnati, OH 45245-1683 | 2006-06-08 |
| 1982043089 | Martin Daniel Fritzhand | Urology | 2825 Burnet Ave, Cincinnati, OH 45219-2426 | 2013-06-21 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45245 |
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.