TRI-STATE MEDICAL GROUP, INC. – NPI #1215164488
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.

TRI-STATE MEDICAL GROUP, INC. is a provider located in BEAVER FALLS, PA. NPPES has assigned the NPI number 1215164488 to TRI-STATE MEDICAL GROUP, INC. on June 16, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 17 years ago on Jun 18, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TRI-STATE MEDICAL GROUP, INC. below.

NPI Profile for
TRI-STATE MEDICAL GROUP, INC.

NPI Number
1215164488
Enumeration Date

(about 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
TRI-STATE MEDICAL GROUP, INC.
Primary location
100 CHIPPEWA TOWN CTR.
HERITAGE VALLEY CONVENIENT CARE-BEAVER FALLS
BEAVER FALLS, PA 15010
Phone: (724) 774-2942 Fax: (724) 774-5175
Mailing address
1000 DUTCH RIDGE ROAD C-4
HERITAGE VALLEY BEAVER CREDENTIALING
BEAVER, PA 15009
Phone: (724) 773-4776 Fax: (724) 773-4726
Organization Subpart
No
Authorized Official
NORMAN MITRY
PRESIDENT & CEO
Phone: (724) 773-4776
Updated
Identifiers

Identifiers for TRI-STATE MEDICAL GROUP, INC.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDPA0015654460023
MEDICAIDPA0014950830029
MEDICAIDPA1007289980010
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
363L00000X
- Nurse Practitioner
363AM0700X
- Physician Assistant / Medical
207R00000X
- Internal Medicine

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.