TRI-STATE MEDICAL GROUP, INC. (NPI# 1619116738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619116738 |
| Entity Type | Organization |
| Organization Name | TRI-STATE MEDICAL GROUP, INC. |
| Other Organization Name | HERITAGE VALLEY FAMILY PRACTICE GRIECO |
| Practice Address |
2620 Constitution Blvd Lower Level Beaver Falls PA 15010-1278 |
| Practice Telephone | 7247756500 |
| Enumeration Date | 2009-02-12 |
| Last Update Date | 2009-02-12 |
| Authorized Official Name | NORMAN F. MITRY (PRESIDENT & CEO) |
| Authorized Official Telephone | 7247734776 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0015654460023 | 05 |
| Other Name | Type Code |
|---|---|
| Heritage Valley Family Practice Grieco | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790019438 | Tri-state Medical Group, Inc. | Physical Medicine & Rehabilitation | 1030 Beaner Hollow Road, Beaver Medical Commons, Beaver, PA 15009 | 2009-09-29 |
| 1215164488 | Tri-state Medical Group, Inc. | Internal Medicine | 100 Chippewa Town Ctr., Heritage Valley Convenient Care-beaver Falls, Beaver Falls, PA 15010 | 2009-06-16 |
| 1326275595 | Tri-state Medical Group, Inc. | Internal Medicine | Route 18 Wal-mart Shopping Plaza, Heritage Valley Convenient Care-monaca, Monaca, PA 15061 | 2009-06-16 |
| 1437435161 | Tri-state Medical Group, Inc. | Family Medicine | 3468 Brodhead Rd, Monaca, PA 15061-3149 | 2011-10-26 |
| 1679725279 | Tri-state Medical Group, Inc. | Family Medicine | 3950 Brodhead Rd, Suite 200, Monaca, PA 15061-3030 | 2008-10-15 |
| 1275785057 | Tri-state Medical Group, Inc. | Internal Medicine | 99 Autumn St, Suite 101, Aliquippa, PA 15001-1301 | 2008-10-13 |
| 1437301280 | Tri-state Medical Group, Inc. | Internal Medicine | 1307 6th Ave, Beaver Falls, PA 15010-4213 | 2008-10-10 |
| 1871745620 | Tri-state Medical Group, Inc. | Physical Medicine & Rehabilitation | 5000 Industrial Blvd, Aliquippa, PA 15001-4874 | 2008-10-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | TRI-STATE MEDICAL GROUP, INC. | 1600 Morgan Street, Keokuk, IA 52632 |
| Street Address |
2620 CONSTITUTION BLVD LOWER LEVEL |
| City | BEAVER FALLS |
| State | PA |
| Zip Code | 15010-1278 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114926979 | Patricia Nicholette Vigder | Obstetrics & Gynecology | 2620 Constitution Blvd, Upper Level, Beaver Falls, PA 15010-1278 | 2005-07-14 |
| 1902109804 | Rebecca Ann Welch | Obstetrics & Gynecology | 2620 Constitution Blvd, Upper Level, Beaver Falls, PA 15010-1278 | 2010-12-15 |
| 1750516050 | Priya Talwar | Obstetrics & Gynecology | 2620 Constitution Blvd, Upper Level, Beaver Falls, PA 15010-1278 | 2009-05-16 |
| 1417109018 | Heritage Valley Medical Group, Inc. | Family Medicine | 2620 Constitution Blvd, Upper Level, Beaver Falls, PA 15010-1278 | 2008-10-15 |
| 1780726620 | Tri - State Medical Group, Inc. | Non-Pharmacy Dispensing Site | 2620 Constitution Blvd, Beaver Falls, PA 15010-1278 | 2007-02-13 |
| 1174663629 | Cristina Brown | Physician Assistant | 2620 Constitution Blvd, Beaver Falls, PA 15010-1278 | 2007-02-07 |
| 1699791699 | Robert L Grieco | Family Medicine | 2620 Constitution Blvd, Upper Level, Beaver Falls, PA 15010-1278 | 2006-07-14 |
| 1568419281 | Tri State Obstetrics & Gynecology | Obstetrics & Gynecology | 2620 Constitution Blvd, Upper Level, Beaver Falls, PA 15010-1278 | 2006-05-28 |
| 1578558375 | Virginia Irene Holbein | Registered Nurse | 2620 Constitution Blvd, Beaver Falls, PA 15010-1278 | 2005-09-18 |
| 1639179039 | Christopher Joseph Palombo | Obstetrics & Gynecology | 2620 Constitution Blvd, Upper Level, Beaver Falls, PA 15010-1278 | 2005-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700350519 | Brittany Crowley | Occupational Therapist | Premier Therapy Corporate Office, 110 Central Square Dr., Beaver Falls, PA 15010 | 2019-01-15 |
| 1336647809 | County of Beaver | Case Management | 1020 8th Avenue, Beaver Falls, PA 15010 | 2018-01-30 |
| 1265951065 | Sarah Ann Calve | Physician Assistant | 1000 Knowlson Ave, Beaver Falls, PA 15010 | 2017-09-12 |
| 1467970087 | Charity Marlene Longstreth | Specialist/Technologist | 3200 College Avenue, Beaver Falls, PA 15010 | 2017-09-04 |
| 1689198517 | Tonette Marion Whitted | Counselor | 805 9th Avenue, Beaver Falls, PA 15010 | 2017-08-02 |
| 1497152151 | Brittany Hians | Physical Therapist | 110 Central Square Dr, Beaver Falls, PA 15010 | 2014-11-24 |
| 1790115319 | Annalisa Stief | Occupational Therapy Assistant | 251 Georgetown Rd, Beaver Falls, PA 15010 | 2013-11-18 |
| 1932539566 | Rebecca Meyers | Physical Therapy Assistant | 257 Georgetown Road, Beaver Falls, PA 15010 | 2013-11-18 |
| 1104169705 | Jacquelyn Skinner B. Skinner | Counselor | 1008 7th Ave., Suite 210, Beaver Falls, PA 15010 | 2013-04-02 |
| 1558621532 | Kara Marie Christopher | Speech-Language Pathologist | 2400 Darlington Road, Beaver Falls, PA 15010 | 2012-05-23 |
| Find all providers in zip 15010 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124327259 | Valley Medical Facilities, Inc | Family Medicine | 1125 7th Avenue, Beaver Falls, PA 15010 | 2011-03-15 |
| 1801074836 | Daniel Lee Ober | Family Medicine | 135 Meadow Dr, Beaver Falls, PA 15010-1651 | 2008-01-31 |
| 1154350254 | Elpidio D Damazo I | Family Medicine | 619 15th St, Beaver Falls, PA 15010-4122 | 2006-07-01 |
| 1245212604 | Thomas Peter Birk | Family Medicine | 9559 Main Street, Beaver Falls, NY 13305 | 2005-11-18 |
| 1053307199 | Vikram Arora | Family Medicine | 1125 7th Ave, Beaver Falls, PA 15010-4426 | 2005-09-23 |
| 1588659916 | Richard Kevin Carugati | Family Medicine | 926 8th Ave, Beaver Falls, PA 15010-4504 | 2005-09-12 |
| 1265431811 | Michael T. Guffey | Family Medicine | 2400 Darlington Rd, Beaver Falls, PA 15010-1305 | 2005-07-17 |
| 1205214459 | Thomas Kessler | Family Medicine | 1125 7th Ave, Work, Beaver Falls, PA 15010-4426 | 2015-05-08 |
| 1629481064 | Roxanne Alsbury | Family Medicine | 1125 7th Ave, Beaver Falls, PA 15010-4426 | 2014-06-03 |
| 1982040168 | Ryan Dallas Hancox | Family Medicine | 1125 7th Ave, Beaver Falls, PA 15010-4426 | 2013-05-15 |
| Find all providers in BEAVER FALLS | ||||
| City | BEAVER FALLS |
| Zip Code | 15010 |
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| 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.