TRI-STATE MEDICAL GROUP INC NPI 1841429099

NPI Information

  • NPI: 1841429099
  • Provider Name: TRI-STATE MEDICAL GROUP, INC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 1185 FREEDOM RD
    SUITE B106
    CRANBERRY TWP, PA
    ZIP 16066
  • Phone: (724) 777-3596

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NPI Details

TRI-STATE MEDICAL GROUP, INC is a family medicine in Cranberry Twp, PA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. TRI-STATE MEDICAL GROUP, INC NPI is 1841429099. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1185 FREEDOM RD
SUITE B106
CRANBERRY TWP, PA
ZIP 16066-913
Phone: (724) 777-3596

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 7/9/2009 and was last updated on 7/9/2009.

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
1207Q00000XFamily MedicineYes

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
10015654460023MEDICAIDPENNSYLVANIA
2807864MEDICARE PINPENNSYLVANIA
30202677MEDICAIDOHIO
49280531MEDICARE 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: 3/30/2025

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