TRI-STATE UROLOGY (NPI# 1801995766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801995766 |
| Entity Type | Organization |
| Organization Name | TRI-STATE UROLOGY |
| Practice Address |
16844 Saint Clair Ave East Liverpool OH 43920-4277 |
| Mailing Address |
1 Peartree Way Beaver PA 15009-1954 |
| Practice Telephone | 3303851770 |
| Practice Fax Number | 7247289722 |
| Mailing Telephone | 7247284224 |
| Mailing Fax Number | 7247289722 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2008-01-18 |
| Authorized Official Name | MR. MICHAEL LANE LUSTBADER (DOCTOR) |
| Authorized Official Telephone | 7247284224 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | MD031897E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RR MEDICARE | CL4084 | 01 | |
| PA | 0014509850001 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356494876 | Tri-state Urology | Urology | 255 Church St, Ste. 202, Pikeville, KY 41501-3476 | 2007-01-19 |
| Street Address |
16844 SAINT CLAIR AVE |
| City | EAST LIVERPOOL |
| State | OH |
| Zip Code | 43920-4277 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477595874 | Ankle and Foot Care Centers | Podiatrist | 16844 Saint Clair Ave, East Liverpool, OH 43920-4277 | 2006-06-11 |
| 1174908792 | Shelley Sue Walsh | Massage Therapist | 16844 Saint Clair Ave, East Liverpool, OH 43920-4277 | 2015-07-24 |
| 1316387186 | Michael John Stas | Podiatrist | 16844 Saint Clair Ave, East Liverpool, OH 43920-4277 | 2013-06-26 |
| 1669543906 | Joseph P Sitarik | General Practice | 16844 Saint Clair Ave, East Liverpool, OH 43920-4277 | 2006-11-10 |
| 1962430264 | Shannon M Smith | Physical Therapist | 16844 Saint Clair Ave, East Liverpool, OH 43920-4277 | 2006-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992321228 | Mary Matta | Podiatrist | 425 West Fith Street, East Liverpool, OH 43920 | 2020-06-23 |
| 1538795893 | Kaley M Davis | Occupational Therapist | 15655 Oh-170, East Liverpool, OH 43920 | 2020-03-19 |
| 1851890842 | Psycare Inc | Community/Behavioral Health | 15303 State Rout 170, East Liverpool, OH 43920 | 2018-02-06 |
| 1447760004 | Sarah Eileen Malcomson | Nurse Practitioner | 304 W 5th St, East Liverpool, OH 43920 | 2017-10-09 |
| 1427411438 | Help Hotline Crisis Center, Inc. | Community/Behavioral Health | 509 Market Street, East Liverpool, OH 43920 | 2016-03-29 |
| 1467848960 | Lorraine Barnard | Physical Therapy Assistant | 500 Self Ridge Street, Nentwick Convalescent Home, East Liverpool, OH 43920 | 2015-04-10 |
| 1891129441 | Jamie Jo Boyle | Nurse Practitioner | 425 West 5th Street, East Liverpool, OH 43920 | 2013-08-29 |
| 1275872038 | Tri-state Pediatric Associates, Inc | Pediatrics | 15700 State Street, Route 170, Calcutta, OH 43920 | 2013-02-13 |
| 1083953798 | Jill C Hendrickson | Psychologist | 416 Jackson Street, East Liverpool, OH 43920 | 2013-02-01 |
| 1104163468 | Laura Jane Plum | Occupational Therapy Assistant | 15675 Maple Drive, East Liverpool, OH 43920 | 2013-01-07 |
| Find all providers in zip 43920 | ||||
| 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 |
|---|---|---|---|---|
| 1710954557 | Sunil Sitarum Parulkar | Urology | 205 W 6th St, East Liverpool, OH 43920 | 2006-03-01 |
| 1730495425 | Sunil Parulkar Md Urology | Urology | 205 W 6th St, East Liverpool, OH 43920-2818 | 2010-08-19 |
| 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 |
| 1023597143 | Rajiva Ranjan Singh | Urology | 3737 Southern Blvd., Suite 4200, Kettering, OH 45429-1262 | 2018-08-09 |
| 1194232876 | Nathan Ying-ho Hoy | Urology | 9500 Euclid Ave, Q10, Cleveland, OH 44195 | 2018-01-04 |
| 1982113197 | Alliance and Salem Urology LLC | Urology | 885 S Sawburg Ave Ste 105, Alliance, OH 44601-5905 | 2017-09-20 |
| 1447788468 | Robin Ann Houk | Urology | 95 Arch St Ste 165, Akron, OH 44304-1488 | 2017-06-03 |
| 1598216152 | Kings Daughters Medical Specialties Inc. | Urology | 1729 Kinneys Ln Ste 103, Portsmouth, OH 45662-3166 | 2016-10-19 |
| 1093162463 | Wmc Physician Practices LLC | Urology | 4100 Johnson Rd Ste 200, Steubenville, OH 43952-2372 | 2016-05-16 |
| 1154783223 | Wmc Physician Practices LLC | Urology | 251 E Market Street, Cadiz, OH 43907 | 2016-03-28 |
| 1144607508 | Johnathan Doolittle | Urology | 2050 E 96th St Q Building, Cleveland, OH 44195-3548 | 2015-05-05 |
| Find all providers with the same taxonomy | ||||
| City | EAST LIVERPOOL |
| Zip Code | 43920 |
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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.