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TRI-STATE UROLOGY NPI 1801995766


NPI Information

NPI: 1801995766
Provider Name: TRI-STATE UROLOGY
Classification: Urology - 208800000X
Entity Type: Organization
Address:
16844 SAINT CLAIR AVE
EAST LIVERPOOL, OH
ZIP 43920
Phone: (330) 385-1770
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TRI-STATE UROLOGY is an urology in East Liverpool, OH. The provider is 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. TRI-STATE UROLOGY NPI is 1801995766. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

16844 SAINT CLAIR AVE
EAST LIVERPOOL, OH
ZIP 43920-277
Phone: (330) 385-1770
Fax: (724) 728-9722

The provider's authorized official is Michael Lane Lustbader .
The authorized official title is Doctor and has the following contact phone number (724) 728-4224.

The enumeration date for this NPI number is 9/21/2006 and was last updated on 1/18/2008.


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
1208800000XUrologyMD031897EPENNSYLVANIAYes

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
10014509850001MEDICAIDPENNSYLVANIA
2CL4084OTHERRR MEDICARE
3157590MEDICARE PINPENNSYLVANIA
49265272MEDICARE 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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