TRI STATE UROLOGIC SERVICES PSC INC (NPI# 1619200664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619200664 |
| Entity Type | Organization |
| Organization Name | TRI STATE UROLOGIC SERVICES PSC INC |
| Other Organization Name | THE UROLOGY GROUP |
| Practice Address |
10220 Alliance Rd Blue Ash OH 45242-4710 |
| Mailing Address |
2000 Joseph E Sanker Blvd Cincinnati OH 45212-1979 |
| Practice Telephone | 5138417800 |
| Practice Fax Number | 5138417801 |
| Mailing Telephone | 5138417400 |
| Mailing Fax Number | 5138417402 |
| Enumeration Date | 2009-09-09 |
| Last Update Date | 2014-11-11 |
| 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 | 0276946 | 05 | |
| OH | RAILROAD MEDICARE | CC2433 | 01 |
| 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 |
| 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 |
| 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 |
10220 ALLIANCE RD |
| City | BLUE ASH |
| State | OH |
| Zip Code | 45242-4710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356391031 | Rachel E Savage | Physician Assistant | 10220 Alliance Rd, Blue Ash, OH 45242-4710 | 2006-05-11 |
| 1609489004 | Kelli Harmon | Physician Assistant | 10220 Alliance Rd, Blue Ash, OH 45242-4710 | 2020-08-25 |
| 1689043499 | Barbara Bracken Hankin | Nurse Practitioner | 10220 Alliance Rd, Blue Ash, OH 45242-4710 | 2015-09-22 |
| 1447645817 | Daniel Szabo | Urology | 10220 Alliance Rd, Blue Ash, OH 45242-4710 | 2015-04-02 |
| 1366879686 | Brian Quinn Shrimpton | Physician Assistant | 10220 Alliance Rd, Blue Ash, OH 45242-4710 | 2013-10-01 |
| 1043657067 | Ben Niver | Urology | 10220 Alliance Rd, Blue Ash, OH 45242-4710 | 2013-05-31 |
| 1477872620 | Katherine E Voss | Urology | 10220 Alliance Rd, Blue Ash, OH 45242-4710 | 2010-05-27 |
| 1881851467 | Patrick M Wirtz | Urology | 10220 Alliance Rd, Blue Ash, OH 45242-4710 | 2008-05-21 |
| 1801907332 | Chandrasekar Dheenan | Urology | 10220 Alliance Rd, Blue Ash, OH 45242-4710 | 2006-08-31 |
| 1275579856 | Mark G Delworth Jr. | Urology | 10220 Alliance Rd, Blue Ash, OH 45242-4710 | 2006-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162533 | D&c Enhanced Home Healthcare Agency | Licensed Practical Nurse | 10999 Reed Hartman Hwy Ste 326, Blue Ash, OH 45242 | 2020-10-21 |
| 1487251088 | Calvary Behavioral Health of Ohio, LLC | Community/Behavioral Health | 11974 State Route 42, Suite 240, Sharonville, OH 45242 | 2020-10-06 |
| 1093324352 | Hotel California By The Sea Cincinnati, LLC. | Substance Abuse Rehabilitation Facility | 7745 Ivygate Lane, Cincinnati, OH 45242 | 2020-07-23 |
| 1265040554 | Hotel California By The Sea Cincinnati, LLC. | Substance Abuse Rehabilitation Facility | 7172 Pfeiffer Road, Cincinnati, OH 45242 | 2020-07-22 |
| 1144838442 | Hotel California By The Sea Cincinnati, LLC. | Substance Abuse Rehabilitation Facility | 10519 Cinderella Drive, Cincinnati, OH 45242 | 2020-07-22 |
| 1841836830 | Alms Social Services | Community/Behavioral Health | 11071 Oak Avenue, Cincinnati, OH 45242 | 2019-11-25 |
| 1740839398 | Vibrant Care LLC | In Home Supportive Care | 1099 Reed Hartman Hwy, Suite 332, Cincinnati, OH 45242 | 2019-09-06 |
| 1902368988 | Twin Lakes | Assisted Living Facility | 9840 Montgomery Road, Attn: Lec Finance, Cincinnati, OH 45242 | 2019-04-01 |
| 1215496344 | Cathy L Rosenbaum | Pharmacist | 10274 Alliance Road, Blue Ash, OH 45242 | 2019-03-18 |
| 1841773181 | Accelerated Rehabilitation Centers Ltd | Physical Therapist | 9856 Montgomery Rd #300, Cincinnati, OH 45242 | 2018-09-12 |
| Find all providers in zip 45242 | ||||
| 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 |
|---|---|---|---|---|
| 1447645817 | Daniel Szabo | Urology | 10220 Alliance Rd, Blue Ash, OH 45242-4710 | 2015-04-02 |
| 1043657067 | Ben Niver | Urology | 10220 Alliance Rd, Blue Ash, OH 45242-4710 | 2013-05-31 |
| 1477872620 | Katherine E Voss | Urology | 10220 Alliance Rd, Blue Ash, OH 45242-4710 | 2010-05-27 |
| 1881851467 | Patrick M Wirtz | Urology | 10220 Alliance Rd, Blue Ash, OH 45242-4710 | 2008-05-21 |
| 1801907332 | Chandrasekar Dheenan | Urology | 10220 Alliance Rd, Blue Ash, OH 45242-4710 | 2006-08-31 |
| 1275579856 | Mark G Delworth Jr. | Urology | 10220 Alliance Rd, Blue Ash, OH 45242-4710 | 2006-06-21 |
| 1942246525 | David H Krick | Urology | 10220 Alliance Rd, Blue Ash, OH 45242-4710 | 2006-06-21 |
| 1508802257 | Karl B Braun | Urology | 10220 Alliance Rd, Blue Ash, OH 45242-4710 | 2006-06-21 |
| 1770525073 | Gary M Kirsh | Urology | 10220 Alliance Rd, Blue Ash, OH 45242-4710 | 2006-06-12 |
| 1104868553 | Jeffrey W Zipkin | Urology | 10220 Alliance Rd, Blue Ash, OH 45242-4710 | 2006-06-11 |
| Find all providers in BLUE ASH | ||||
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.