TRI - STATE MEDICAL GROUP, INC. (NPI# 1720129943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720129943 |
| Entity Type | Organization |
| Organization Name | TRI - STATE MEDICAL GROUP, INC. |
| Practice Address |
21 7th St Midland PA 15059-1452 |
| Mailing Address |
5626 Oberlin Dr Suite 110 San Diego CA 92121-1705 |
| Practice Telephone | 7246434852 |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2012-10-17 |
| Authorized Official Name | KENNY HEINE (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 8586252990 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDVANTX, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | OS006001L | PA | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699817072 | Tri - State Medical Group, Inc. | Non-Pharmacy Dispensing Site | 207 Second Street, A, Darlington, PA 16115 | 2007-02-13 |
| 1578756318 | Tri - State Medical Group, Inc. | Non-Pharmacy Dispensing Site | 1211 3rd St, Beaver, PA 15009-2530 | 2007-08-24 |
| 1780726620 | Tri - State Medical Group, Inc. | Non-Pharmacy Dispensing Site | 2620 Constitution Blvd, Beaver Falls, PA 15010-1278 | 2007-02-13 |
| 1760524755 | Tri - State Medical Group, Inc. | Non-Pharmacy Dispensing Site | 500 Sharon Rd, Beaver, PA 15009-1957 | 2007-02-13 |
| 1730221557 | Tri - State Medical Group, Inc. | Non-Pharmacy Dispensing Site | 2299 Brodhead Rd, Aliquippa, PA 15001-4674 | 2007-02-12 |
| 1144362799 | Tri - State Medical Group, Inc. | Non-Pharmacy Dispensing Site | 2400 Darlington Rd, Beaver Falls, PA 15010-1305 | 2007-02-12 |
| 1346380458 | Tri - State Medical Group, Inc. | Non-Pharmacy Dispensing Site | 3950 Brodhead Rd, 200, Monaca, PA 15061-3030 | 2007-02-07 |
| Street Address |
21 7TH ST |
| City | MIDLAND |
| State | PA |
| Zip Code | 15059-1452 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639284250 | Cheryl A Herman | Physician Assistant | 21 7th St, Midland, PA 15059-1452 | 2006-08-21 |
| 1962654475 | Heritage Valley Medical Group, Inc. | Family Medicine | 21 7th St, Midland, PA 15059-1452 | 2008-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336210418 | Associated Dental Billing Services, Inc | Clinic/Center | 527 Midland Ave, Midland, PA 15059-1312 | 2006-11-12 |
| 1275698698 | Norbet Inc | Pharmacy | 653 Midland Ave, Midland, PA 15059-1409 | 2006-12-26 |
| 1902121718 | Midland Borough School District | Local Education Agency (LEA) | 173 7th St, Midland, PA 15059-1469 | 2010-04-05 |
| 1801142419 | Daniel Anthony Perry | Pharmacist | 847 Midland Ave, Midland, PA 15059-1511 | 2012-08-01 |
| 1548359292 | Rite Aid of Pennsylvania LLC | Durable Medical Equipment & Medical Supplies | 847 Midland Avenue, Midland, PA 15059-1511 | 2006-10-12 |
| 1912493537 | Eric Kaupinis | Pharmacist | 847 Midland Ave, Midland, PA 15059-1511 | 2018-07-06 |
| 1053861732 | Allyson Nicola | Pharmacist | 847 Midland Ave, Midland, PA 15059-1511 | 2016-10-06 |
| 1881680643 | Rosemarie Ann Colatriano | Social Worker | 838 Midland Ave, Midland, PA 15059-1512 | 2005-09-26 |
| 1609016062 | Lincoln Park Performing Arts Charter School | Local Education Agency (LEA) | 1 Lincoln Park, Midland, PA 15059-1535 | 2009-02-25 |
| 1447490743 | Pennsylvania Cyber Charter School | Local Education Agency (LEA) | 1 Lincoln Park, Midland, PA 15059-1535 | 2009-02-26 |
| Find all providers in zip 15059 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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| 1275193336 | Q Pharma Inc | Non-Pharmacy Dispensing Site | 103 Nesbitt Rd, New Castle, PA 16105-3401 | 2019-06-19 |
| 1770141491 | R&r Eyewear Imports, Inc. | Non-Pharmacy Dispensing Site | 311 W Moreland Rd, Willow Grove, PA 19090-3107 | 2019-05-29 |
| 1174089858 | Centers for Advanced Urology, LLC | Non-Pharmacy Dispensing Site | 400 Davis Dr Ste 200a, Plymouth Meeting, PA 19462-1718 | 2019-02-18 |
| 1811469760 | Dermatology and Mohs Surgery Center PC | Non-Pharmacy Dispensing Site | 920 Lawn Ave Ste 6, Sellersville, PA 18960-1560 | 2018-12-17 |
| 1437624244 | Highpoint Pain & Rehabilitation Physicians | Non-Pharmacy Dispensing Site | 2 Village Road, Horsham, PA 19044 | 2018-10-08 |
| 1649768110 | Qpharma Inc | Non-Pharmacy Dispensing Site | 20 Highland Park Dr Ste 202, Uniontown, PA 15401-8968 | 2018-04-30 |
| 1215424536 | Q Pharma Inc | Non-Pharmacy Dispensing Site | 1321 Fifth Ave Ste 1, Mckeesport, PA 15132-2403 | 2018-04-23 |
| Find all providers with the same taxonomy | ||||
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| 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.