TRI-STATE MEDICAL GROUP NPI 1730496019

NPI Information

  • NPI: 1730496019
  • Provider Name: TRI-STATE MEDICAL GROUP
  • Classification: Internal Medicine - 207RE0101X
  • Specialization: Endocrinology, Diabetes & Metabolism
  • Entity Type: Organization
  • Doing Business As: HERITAGE VALLEY ENDOCRINOLOGY BEAVER
  • Address: 1 PEARTREE WAY
    BEAVER, PA
    ZIP 15009
  • Phone: (724) 773-4776

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NPI Details

TRI-STATE MEDICAL GROUP is an endocrinology and diabetes and metabolism internal medicine in Beaver, PA. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. TRI-STATE MEDICAL GROUP NPI is 1730496019. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Heritage Valley Endocrinology Beaver.

The provider's business location address is:

1 PEARTREE WAY
BEAVER, PA
ZIP 15009-954
Phone: (724) 773-4776

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 9/8/2010 and was last updated on 9/8/2010.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1807864MEDICARE PINPENNSYLVANIA

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: 11/21/2025

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