TRI STATE UROLOGIC SERVICES PSC INC
NPI 1073746459
Urology in Fairfield, OH

NPI Status: Active since September 01, 2009

Contact Information

925 DEIS DR
FAIRFIELD, OH
ZIP 45014
Phone: (513) 841-7900
Fax: (513) 841-7901

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  • Organization
  • Urology
  • CLIA Number: 36D2252290
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 02-09-2028

About TRI STATE UROLOGIC SERVICES PSC INC

This page provides the complete NPI Profile along with additional information for Tri State Urologic Services Psc Inc, a provider established in Fairfield, Ohio operating as a Urology. The healthcare provider is registered in the NPI registry with number 1073746459 assigned on September 2009. The practitioner's primary taxonomy code is 208800000X. The provider is registered as an organization and their NPI record was last updated March 2026. The provider's . The authorized official of this NPI record is Earl L Walz (Ceo)

NPI
1073746459
Provider Legal Name
TRI STATE UROLOGIC SERVICES PSC INC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
925 DEIS DR FAIRFIELD, OH 45014
Location Phone
(513) 841-7900
Location Fax
(513) 841-7901
Mailing Address
2000 JOSEPH E SANKER BLVD CINCINNATI, OH 45212
Mailing Phone
(513) 841-7400
Mailing Fax
(513) 841-7901
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-01-2009
Last Update Date
03-09-2026
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Location Map

Secondary Locations

  • 2449 Ross Millville Rd Ste 265
    Hamilton, OH 45013
    (513) 841-7900

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Urology

Taxonomy Code
208800000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1332B00000XSuppliers

Durable Medical Equipment & Medical Supplies

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

EARL L WALZ

Authorized Official Title
CEO
Authorized Official Phone
(513) 841-7400

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
CC2433OTHER (01)OHRAILROAD MEDICARE
0276946MEDICAID (05)OH 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
36D2252290
Facility Type
Physician Office
Certificate Effective Date
February 10, 2026
Certificate Expiration Date
February 09, 2028
Laboratory Director
MATTHEW A. LOVE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Tri State Urologic Services Psc Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for TRI STATE UROLOGIC SERVICES PSC INC

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1073746459, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
3
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
4
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
4
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 7 → 14 → 5 6 → 12 → 3 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 4 + 3 + 1 + 4 + 4 + 1 + 2 + 4 + 1 + 0 + 24 = 51

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 51 is 60. The difference is the calculated check digit.

60 - 51 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1073746459.

Other Providers at the Same Location


The following 10 providers are registered at the same or a nearby location.

Urology
925 DEIS DR
FAIRFIELD, OH 45014
Urology
925 DEIS DR
FAIRFIELD, OH 45014
Urology
925 DEIS DR
FAIRFIELD, OH 45014
Urology
925 DEIS DR
FAIRFIELD, OH 45014
Urology
925 DEIS DR
FAIRFIELD, OH 45014
Nurse Practitioner (Acute Care)
925 DEIS DR
FAIRFIELD, OH 45014
Physician Assistant (Medical)
925 DEIS DR
FAIRFIELD, OH 45014
Physician Assistant
925 DEIS DR
FAIRFIELD, OH 45014
Urology
925 DEIS DR
FAIRFIELD, OH 45014
Urology
925 DEIS DR
FAIRFIELD, OH 45014

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073746459, enumerated as an "organization" on September 01, 2009.

The provider is located at 925 DEIS DR FAIRFIELD, OH 45014 and the phone number is (513) 841-7900.

Urology with taxonomy code 208800000X.

The provider might be accepting Accepts: Railroad Medicare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.