TRI - STATE MEDICAL GROUP, INC. (NPI# 1780726620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780726620 |
| Entity Type | Organization |
| Organization Name | TRI - STATE MEDICAL GROUP, INC. |
| Practice Address |
2620 Constitution Blvd Beaver Falls PA 15010-1278 |
| Mailing Address |
5626 Oberlin Dr Suite 110 San Diego CA 92121-1705 |
| Practice Telephone | 7248434755 |
| Mailing Telephone | 8586252990 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2012-10-17 |
| Authorized Official Name | KENNY HEINE (DIR. OF OPERATIONS) |
| Authorized Official Telephone | 8586252990 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDVANTX,INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | OS007674L | PA | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699817072 | Tri - State Medical Group, Inc. | Non-Pharmacy Dispensing Site | 207 Second Street, A, Darlington, PA 16115 | 2007-02-13 |
| 1578756318 | Tri - State Medical Group, Inc. | Non-Pharmacy Dispensing Site | 1211 3rd St, Beaver, PA 15009-2530 | 2007-08-24 |
| 1760524755 | Tri - State Medical Group, Inc. | Non-Pharmacy Dispensing Site | 500 Sharon Rd, Beaver, PA 15009-1957 | 2007-02-13 |
| 1730221557 | Tri - State Medical Group, Inc. | Non-Pharmacy Dispensing Site | 2299 Brodhead Rd, Aliquippa, PA 15001-4674 | 2007-02-12 |
| 1144362799 | Tri - State Medical Group, Inc. | Non-Pharmacy Dispensing Site | 2400 Darlington Rd, Beaver Falls, PA 15010-1305 | 2007-02-12 |
| 1720129943 | Tri - State Medical Group, Inc. | Non-Pharmacy Dispensing Site | 21 7th St, Midland, PA 15059-1452 | 2007-02-09 |
| 1346380458 | Tri - State Medical Group, Inc. | Non-Pharmacy Dispensing Site | 3950 Brodhead Rd, 200, Monaca, PA 15061-3030 | 2007-02-07 |
| Street Address |
2620 CONSTITUTION BLVD |
| 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 |
| 1619116738 | Tri-state Medical Group, Inc. | Family Medicine | 2620 Constitution Blvd, Lower Level, Beaver Falls, PA 15010-1278 | 2009-02-12 |
| 1417109018 | Heritage Valley Medical Group, Inc. | Family Medicine | 2620 Constitution Blvd, Upper Level, Beaver Falls, PA 15010-1278 | 2008-10-15 |
| 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 | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144362799 | Tri - State Medical Group, Inc. | Non-Pharmacy Dispensing Site | 2400 Darlington Rd, Beaver Falls, PA 15010-1305 | 2007-02-12 |
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| Find all providers with the same taxonomy | ||||
| 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.