TRI-STATE MEDICAL GROUP, INC. (NPI# 1679725279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679725279 |
| Entity Type | Organization |
| Organization Name | TRI-STATE MEDICAL GROUP, INC. |
| Other Organization Name | TSMG GREGG ZERNICH, D.O. |
| Practice Address |
3950 Brodhead Rd Suite 200 Monaca PA 15061-3030 |
| Practice Telephone | 7247755833 |
| Mailing Telephone | 7247755833 |
| Enumeration Date | 2008-10-15 |
| Last Update Date | 2008-10-15 |
| Authorized Official Name | NORMAN F. MITRY (PRESIDENT & CEO) |
| Authorized Official Telephone | 7247734776 |
| Is Organization Subpart | Y |
| Parent Organization Name | TRI-STATE MEDICAL GROUP, INC. |
| 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 | |
| OH | 0202677 | 05 |
| Other Name | Type Code |
|---|---|
| TSMG Gregg Zernich, D.O. | 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 |
| 1619116738 | Tri-state Medical Group, Inc. | Family Medicine | 2620 Constitution Blvd, Lower Level, Beaver Falls, PA 15010-1278 | 2009-02-12 |
| 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 |
3950 BRODHEAD RD SUITE 200 |
| City | MONACA |
| State | PA |
| Zip Code | 15061-3030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033114855 | Progressive Home Health, Inc. | Home Health | 3950 Brodhead Rd, Suite 300, Monaca, PA 15061-3030 | 2005-06-17 |
| 1093980021 | Healthcare Services International | Clinic/Center | 3950 Brodhead Rd, Suite 210, Monaca, PA 15061-3030 | 2008-04-30 |
| 1700051364 | Health Care Services International Inc. | Nursing Care | 3950 Brodhead Rd, Monaca, PA 15061-3030 | 2008-04-24 |
| 1184892960 | Jessica Rae Engle | Occupational Therapist | 3950 Brodhead Rd, Suite 300, Monaca, PA 15061-3030 | 2008-02-14 |
| 1659553899 | Express Med Pharmaceuticals Inc | Durable Medical Equipment & Medical Supplies | 3950 Brodhead Rd, Ste 230, Monaca, PA 15061-3030 | 2007-11-29 |
| 1396939039 | Kevin Wayne Edwards | Physical Therapist | 3950 Brodhead Rd, Suite 300, Monaca, PA 15061-3030 | 2007-09-05 |
| 1881819118 | Michael A. Dechellis | Physical Therapist | 3950 Brodhead Rd, Suite 300, Monaca, PA 15061-3030 | 2007-04-13 |
| 1346380458 | Tri - State Medical Group, Inc. | Non-Pharmacy Dispensing Site | 3950 Brodhead Rd, 200, Monaca, PA 15061-3030 | 2007-02-07 |
| 1114017019 | Express Med Pharmaceuticals, Inc. | Pharmacy | 3950 Brodhead Rd, Suite 100, Monaca, PA 15061-3030 | 2006-10-13 |
| 1598870107 | Elizabeth Salyards | Nurse Practitioner | 3950 Brodhead Rd, Suite 200, Monaca, PA 15061-3030 | 2006-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124498910 | Ashley Lynn Bell | Physician Assistant | 3944 Brodhead Road, Suite 7b, Monaca, PA 15061 | 2015-10-06 |
| 1902193105 | Robert Martin Niedermeyer Jr. | Pharmacist | 87 Wagner Road, Monaca, PA 15061 | 2011-07-08 |
| 1033416979 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 118 Wagner Rd, Monaca, PA 15061 | 2011-02-11 |
| 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 |
| 1053560888 | Beth Ann Klump | Physician Assistant | 3572 Brodhead Rd., Suite 301, Monaca, PA 15061 | 2008-09-17 |
| 1376687954 | Luke E Stall | Radiology | 3582 Brodhead Rd Ste 204, Monaca, PA 15061 | 2007-02-16 |
| 1063595684 | Wal-mart Stores East, Lp | Technician/Technologist | Pa. Rt.18/wal-mart Plaza Shpg., Monaca, PA 15061 | 2006-10-24 |
| 1366533945 | Regine Lydie Bataille-gossard | Optometrist | Walmart Vision Center, Walmart Plaza Route 18, Monaca, PA 15061 | 2006-09-27 |
| 1346341708 | Richa Bajaj | Dentist | 125 Wagner Rd, Monaca, PA 15061 | 2006-09-26 |
| 1538265319 | David Walter Jaskiewicz | Optometrist | Route 18, Walmart Plaza, Monaga, PA 15061 | 2006-09-16 |
| Find all providers in zip 15061 | ||||
| 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 |
|---|---|---|---|---|
| 1497028054 | Medexpress Urgent Care, PC - Pennsylvania | Family Medicine | 3944 Brodhead Rd, Suite 7b, Monaca, PA 15061-3029 | 2012-02-13 |
| 1437435161 | Tri-state Medical Group, Inc. | Family Medicine | 3468 Brodhead Rd, Monaca, PA 15061-3149 | 2011-10-26 |
| 1972529725 | Matthew Britt Coombs | Family Medicine | 3950 Brodhead Rd, Suite 200, Monaca, PA 15061-3030 | 2006-07-14 |
| 1558387308 | Gregg S Zernich | Family Medicine | 3950 Brodhead Rd, Suite 200, Monaca, PA 15061-3030 | 2006-07-14 |
| 1902860026 | S L Wilcox Health Services | Family Medicine | 3428 Brodhead Rd, Monaca, PA 15061-3132 | 2006-04-14 |
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| 1205442878 | Hallie Szymanski | Family Medicine | 3481 Frye Ave, Finleyville, PA 15332-1305 | 2020-09-19 |
| 1124633672 | Upmc Community Medicine, Inc | Family Medicine | 3140 Highland Rd Ste 102, Hermitage, PA 16148-4514 | 2020-09-11 |
| 1275147647 | Rebecca Diane Yeater | Family Medicine | Wellspan Family Medicine - Fairfield, 4910 Fairfield Rd, Fairfield, PA 17320 | 2020-09-03 |
| 1497369813 | Christina Socash | Family Medicine | 11335 Neiger Rd, Girard, PA 16417-9130 | 2020-09-02 |
| 1902410673 | Geisinger Clinic | Family Medicine | 20 Diana Ln, West Hazleton, PA 18202-1210 | 2020-09-01 |
| 1457964603 | Cynthia Rainey Raposas | Family Medicine | 3552 Woodside Rd, Hollidaysburg, PA 16648-5258 | 2020-08-27 |
| 1841802592 | Community Health and Wellness Services, Inc. | Family Medicine | 312 Memorial Park Dr, Springfield, PA 19064-1714 | 2020-08-22 |
| 1649882275 | Blair Regenerative Medicine LLC | Family Medicine | 201 Hospital Dr Ste 2, Everett, PA 15537-7019 | 2020-08-17 |
| 1447861521 | Mature Resources Foundation | Family Medicine | 28944 Frenchville Karthaus Hwy, Frenchville, PA 16836-8834 | 2020-08-12 |
| 1619587227 | Cmp Medical LLC | Family Medicine | 3626 Sears St, Philadelphia, PA 19146-3217 | 2020-08-07 |
| Find all providers with the same taxonomy | ||||
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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.