TRI STATE UROLOGIC SERVICES PSC INC (NPI# 1083807093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083807093 |
| Entity Type | Organization |
| Organization Name | TRI STATE UROLOGIC SERVICES PSC INC |
| Other Organization Name | THE UROLOGY GROUP |
| Practice Address |
605 Wilson Creek Rd Suite 01 Lawrenceburg IN 47025-2506 |
| Mailing Address |
2000 Joseph E Sanker Blvd Cincinnati OH 45212-1979 |
| Practice Telephone | 8593632200 |
| Practice Fax Number | 8593632201 |
| Mailing Telephone | 5138417400 |
| Mailing Fax Number | 5138417402 |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2017-01-11 |
| Authorized Official Name | EARL L WALZ (CEO) |
| Authorized Official Telephone | 5138417400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200091770A | 05 | |
| IN | RAIROAD MEDICARE | DN9528 | 01 |
| Other Name | Type Code |
|---|---|
| THE UROLOGY GROUP | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699237909 | Tri State Urologic Services Psc Inc | Urology | 2123 Auburn Ave Ste 434, Cincinnati, OH 45219-2906 | 2019-04-04 |
| 1073075578 | Tri State Urologic Services Psc Inc | Urology | 7529 State Rd Ste B, Cincinnati, OH 45255-6410 | 2019-04-03 |
| 1275726580 | Tri State Urologic Services Psc Inc | Non-Pharmacy Dispensing Site | 350 Thomas More Pkwy Ste 200, Crestview Hills, KY 41017-5460 | 2007-08-20 |
| 1619200664 | Tri State Urologic Services Psc Inc | Urology | 10220 Alliance Rd, Blue Ash, OH 45242-4710 | 2009-09-09 |
| 1073746459 | Tri State Urologic Services Psc Inc | Urology | 925 Deis Dr, Fairfield, OH 45014-8130 | 2009-09-01 |
| 1164615746 | Tri State Urologic Services Psc Inc | Urology | 8020 Liberty Way, West Chester, OH 45069-2519 | 2007-08-27 |
| 1013100700 | Tri State Urologic Services Psc Inc | Urology | 110 N Poplar St, Oxford, OH 45056-1204 | 2007-08-25 |
| 1285827972 | Tri State Urologic Services Psc Inc | Urology | 4360 Ferguson Dr Ste 100, Cincinnati, OH 45245-1683 | 2007-08-25 |
| 1396938312 | Tri State Urologic Services Psc Inc | Urology | 3301 Mercy Health Blvd, Suite 525, Cincinnati, OH 45211-1104 | 2007-08-22 |
| 1033302054 | Tri State Urologic Services Psc Inc | Urology | 200 Medical Center Dr Ste 500, Middletown, OH 45005-5183 | 2007-08-22 |
| Street Address |
605 WILSON CREEK RD SUITE 01 |
| City | LAWRENCEBURG |
| State | IN |
| Zip Code | 47025-2506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003884156 | Charles Robert Claydon | Family Medicine | 605 Wilson Creek Rd, Suite 102, Lawrenceburg, IN 47025 | 2006-03-14 |
| 1639644560 | Orthocincy | Orthopaedic Surgery | 605 Wilson Creek Rd, Lawrenceburg, IN 47025-2506 | 2018-10-08 |
| 1255709978 | Beacon Orthopaedics & Sports Medicine, Ltd | Clinic/Center | 605 Wilson Creek Rd, Lawrenceburg, IN 47025-2506 | 2015-09-11 |
| 1386082915 | Brian Andrew Wissel | Orthopaedic Surgery | 605 Wilson Creek Rd, Lawrenceburg, IN 47025-2506 | 2013-06-05 |
| 1194743880 | Nancy Arlene Kennedy | Internal Medicine | 605 Wilson Creek Rd, Suite 101, Lawrenceburg, IN 47025-1074 | 2006-07-18 |
| 1760451058 | Steven Lawrence Langdon | Family Medicine | 605 Wilson Creek Rd, Suite 102, Lawrenceburg, IN 47025-1074 | 2006-03-17 |
| 1457320491 | David F Pierson | Family Medicine | 605 Wilson Creek Rd, Suite 101, Lawrenceburg, IN 47025-1074 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053761932 | Aimee Elizabeth Steele | Social Worker | 285 Bielby Rod, Lawrenceburg, IN 47025 | 2016-06-21 |
| 1942663703 | Kathryn Robinson | Speech-Language Pathologist | 478 Eagleview Drive, Lawrenceburg, IN 47025 | 2016-03-30 |
| 1518342674 | Emily Eichinger | Pharmacist | 401 W Eads Pkwy Ste 270, Greendale, IN 47025 | 2015-07-29 |
| 1104267269 | Bright Family Eye Care LLC | Optometrist | 24173 Stateline Rd., Suite 200, Lawrenceburg, IN 47025 | 2013-07-17 |
| 1912274333 | James J Gibbs | Pharmacist | 432 Craig Avenue, Greendale, IN 47025 | 2011-11-30 |
| 1265717755 | Carrie Rowekamp | Pharmacist | 432 Craig Ave., Greendale, IN 47025 | 2011-10-15 |
| 1619277621 | Whitner Counseling | Community/Behavioral Health | 5 Mary Street, Lawrenceburg, IN 47025 | 2010-10-25 |
| 1255646170 | Charles Alan Perine | Audiologist | 368 Bielby Rd Suite 140, Ludlow Hill Preofessional Bldg, Lawrenceburg, IN 47025 | 2010-08-16 |
| 1457579328 | Sei Physical Therapy, Inc. | Physical Therapist | 23990 Stateline Rd., Suite 1, Lawrenceburg, IN 47025 | 2007-04-23 |
| 1447382593 | Keith William Blankman | Optometrist | 19908 Augusta Dr, Suite 1, Lawrenceburg, IN 47025 | 2007-03-12 |
| Find all providers in zip 47025 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215144936 | Amg-crockett, LLC | Urology | Us Highway 43 South, Lawrenceburg, TN 38464 | 2007-05-16 |
| 1841275682 | Michael I Maggio | Urology | 360 Walnut St, Lawrenceburg, IN 47025-1842 | 2005-12-14 |
| 1881103810 | Amg Crockett LLC | Urology | 190 Prosser Rd, Lawrenceburg, TN 38464-4233 | 2017-09-21 |
| 1912125600 | Amg-crockett, LLC | Urology | 1605 S Locust Ave, Suite 103, Lawrenceburg, TN 38464-4053 | 2007-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336752799 | Mark Alexander Assmus | Urology | 1801 Senate Blvd Ste 220, Indianapolis, IN 46202-1260 | 2020-08-26 |
| 1124653803 | Catherine Baugher | Urology | 2525 W University Ave Ste 504, Muncie, IN 47303-3409 | 2020-03-03 |
| 1245881812 | Carol Jean Stephens | Urology | 1000 N 16th St Ste 210, New Castle, IN 47362-4319 | 2019-09-25 |
| 1376960302 | Mohammad Mahmoud | Urology | 535 Barnhill Dr Ste 150, Indianapolis, IN 46202-5116 | 2014-03-27 |
| 1114364064 | Alexander J Tatem | Urology | 8240 Naab Rd Ste 220, Indianapolis, IN 46260-1950 | 2013-06-03 |
| 1699015941 | Frank Walerko | Urology | 809 Bittersweet Cove Drive, Mishawaka, IN 46544 | 2013-02-25 |
| 1861744997 | Vincent Joseph Santare | Urology | 134 Carnoustie Ln, Schererville, IN 46375-2926 | 2012-10-13 |
| 1821353814 | Little Company of Mary Hospital of Indiana Inc | Urology | 600 W 13th Street, Suite 105, Jasper, IN 47546-1882 | 2012-07-06 |
| 1154681369 | Joshua David Roth | Urology | 705 Riley Hospital Dr Ste 4230, Indianapolis, IN 46202-5109 | 2012-05-22 |
| 1801152210 | Richard James Holloway | Urology | 18799 Arapaho Ln, South Bend, IN 46637 | 2012-04-10 |
| Find all providers with the same taxonomy | ||||
| City | LAWRENCEBURG |
| Zip Code | 47025 |
Please comment or provide details below to improve the information on TRI STATE UROLOGIC SERVICES PSC INC.
| 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.