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TRI-STATE PEDIATRIC ASSOCIATES INC NPI 1275872038


NPI Information

NPI: 1275872038
Provider Name: TRI-STATE PEDIATRIC ASSOCIATES, INC
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
15700 STATE STREET
ROUTE 170
CALCUTTA, OH
ZIP 43920
Phone: (330) 385-1412
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TRI-STATE PEDIATRIC ASSOCIATES, INC is a pediatrics in Calcutta, OH. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. TRI-STATE PEDIATRIC ASSOCIATES, INC NPI is 1275872038. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

15700 STATE STREET
ROUTE 170
CALCUTTA, OH
ZIP 43920
Phone: (330) 385-1412
Fax: (724) 774-2872

The provider's authorized official is Norman F Mitry .
The authorized official title is President & Ceo and has the following contact phone number (724) 773-4776.

The enumeration date for this NPI number is 2/13/2013 and was last updated on 2/13/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
19280534MEDICARE PINOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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