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

Active since September 01, 2009CLIA 36D2252290 · Waiver
925 DEIS DR, FAIRFIELD, OH 45014(513) 841-7900(513) 841-7901 Get Directions Write a Review

NPPES record last updated: March 9, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 9, 2026, Apr 2, 2024, Jan 6, 2020 (3 updates tracked since 2020).

About Tri State Urologic Services Psc Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRI STATE UROLOGIC SERVICES PSC INC (NPI 1073746459), doing business as The Urology Group, is a healthcare organization registered as an urology in Fairfield, Ohio and active in the NPI registry since September 2009. The organization holds a CLIA Waiver certificate valid through February 9, 2028, maintains a secondary practice location in Hamilton, and lists Earl L Walz, Ceo, as its authorized official.

NPPES Registry Identity

NPI1073746459
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameTRI STATE UROLOGIC SERVICES PSC INC
Location Address925 DEIS DRFairfield, OH 45014-8130
Mailing Address2000 Joseph E Sanker BlvdCincinnati, OH 45212-1979 · (513) 841-7400 · Fax (513) 841-7402
Phone(513) 841-7900
Fax(513) 841-7901
Organization SubpartNo
Authorized OfficialEarl L WalzCeo · (513) 841-7400
Enumeration DateSeptember 1, 2009
Last NPPES UpdateMarch 9, 20263 updates tracked since enumeration
NPPES CertifiedMarch 9, 2026
✔ NPI 1073746459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
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.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
925 DEIS DR, Fairfield, OH 45014
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Other Names 1

Doing Business AsThe Urology Group

Secondary Practice Location 1

Location 12449 Ross Millville Rd Ste 265Hamilton, OH 45013-8952 · Phone (513) 841-7900 · Fax (513) 841-7901

Other Identifiers 2

OtherCC2433OH · Railroad Medicare
Medicaid0276946OH

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D2252290

Tri State Urological Services · Hamilton, OH
Active · expires Feb 9, 2028
CLIA Number36D2252290
Laboratory TypePhysician Office
Certificate Effective DateFebruary 10, 2026
Certificate Expiration DateFebruary 9, 2028
Laboratory DirectorMatthew A. Love
Laboratory Phone(513) 841-7900
Laboratory LocationTri State Urological Services2449 Ross Millville Rd Ste 265, Hamilton, OH 45013
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. GEORGE EDWARD GUJU JR. AGACNP
Nurse Practitioner (Acute Care)
925 DEIS DR
FAIRFIELD, OH 45014
Butler County (513) 841-7900
MR. MATTHEW ALAN ANDERSON PA
Physician Assistant (Medical)
925 DEIS DR
FAIRFIELD, OH 45014
Butler County (513) 841-7900
DR. STEPHEN FREDERICK KAPPA M.D., M.B.A.
Urology
925 DEIS DR
FAIRFIELD, OH 45014
Butler County (513) 841-7410
JOHN FRANKEL PA
Physician Assistant
925 DEIS DR
FAIRFIELD, OH 45014
Butler County (513) 841-7900
DR. GREGORY JOHN BROUGHTON MD
Urology
925 DEIS DR
FAIRFIELD, OH 45014
Butler County (513) 841-7900
DOUGLAS E FEENEY MD
Urology
925 DEIS DR
FAIRFIELD, OH 45014
Butler County (513) 841-7910
KEVIN G CAMPBELL MD
Urology
925 DEIS DR
FAIRFIELD, OH 45014
Butler County (513) 841-7910
ANNE ELIZABETH SCOTT M.D.
Urology
925 DEIS DR
FAIRFIELD, OH 45014
Butler County (513) 841-7900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tri State Urologic Services Psc Inc's NPI number?

The NPI number for Tri State Urologic Services Psc Inc is 1073746459. It was assigned to this organization in the NPPES registry on September 1, 2009. The provider is doing business as The Urology Group.

Where is Tri State Urologic Services Psc Inc located?

Tri State Urologic Services Psc Inc is located at 925 Deis Dr, Fairfield, OH 45014. The listed phone number is (513) 841-7900.

What is Tri State Urologic Services Psc Inc's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Does Tri State Urologic Services Psc Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2252290) is associated with this NPI, valid through February 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Tri State Urologic Services Psc Inc was last updated on March 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.