TRI-STATE MEDICAL GROUP, INC.
NPI 1215164488
Family Medicine in Beaver Falls, PA

Active since June 16, 2009
100 CHIPPEWA TOWN CTR., HERITAGE VALLEY CONVENIENT CARE-BEAVER FALLS, BEAVER FALLS, PA 15010(724) 774-2942(724) 774-5175 Get Directions Write a Review

NPPES record last updated: June 18, 2009. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Tri-state Medical Group, Inc. NPPES

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

TRI-STATE MEDICAL GROUP, INC. (NPI 1215164488) is a healthcare organization registered as a family medicine in Beaver Falls, Pennsylvania and active in the NPI registry since June 2009. The organization lists Norman F. Mitry, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1215164488
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameTRI-STATE MEDICAL GROUP, INC.
Location Address100 CHIPPEWA TOWN CTR., HERITAGE VALLEY CONVENIENT CARE-BEAVER FALLSBeaver Falls, PA 15010
Mailing Address1000 Dutch Ridge Road C-4, Heritage Valley Beaver CredentialingBeaver, PA 15009 · (724) 773-4776 · Fax (724) 773-4726
Fax(724) 774-5175
Organization SubpartNo
Authorized OfficialNorman F. MitryPresident & Ceo · (724) 773-4776
Enumeration DateJune 16, 2009
Last NPPES UpdateJune 18, 2009
✔ NPI 1215164488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
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.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
Also ListedNurse PractitionerTaxonomy 363L00000X
100 CHIPPEWA TOWN CTR., Beaver Falls, PA 15010

Other Identifiers 6

Medicaid0015654460023PA
Medicaid0014950830029PA
Medicare PIN807864PA
Medicare PIN078347PA
Medicaid1007289980010PA
Medicare PIN015888PA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Medical Group, Inc.'s NPI number?

The NPI number for Tri-State Medical Group, Inc. is 1215164488. It was assigned to this organization in the NPPES registry on June 16, 2009.

Where is Tri-State Medical Group, Inc. located?

Tri-State Medical Group, Inc. is located at 100 Chippewa Town Ctr. Heritage Valley Convenient Care-Beaver Falls, Beaver Falls, PA 15010. The listed phone number is (724) 774-2942.

What is Tri-State Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Tri-State Medical Group, Inc. was last updated on June 18, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.