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TRI STATE MEDICAL LLC
NPI 1417650847
Family Medicine in Mason, OH

Active since March 24, 2023
5633 TYLERSVILLE RD STE B, MASON, OH 45040(937) 681-9258 Get Directions Write a Review

NPPES record last updated: March 24, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tri State Medical Llc NPPES

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

TRI STATE MEDICAL LLC (NPI 1417650847) is a healthcare organization registered as a family medicine in Mason, Ohio and active in the NPI registry since March 2023. The organization lists Stephen Ericson, Member, as its authorized official.

NPPES Registry Identity

NPI1417650847
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameTRI STATE MEDICAL LLC
Location Address5633 TYLERSVILLE RD STE BMason, OH 45040-2533
Mailing Address5633 Tylersville Rd Ste BMason, OH 45040-2533
Phone(937) 681-9258
Organization SubpartNo
Authorized OfficialStephen EricsonMember · (937) 681-9258
Enumeration DateMarch 24, 2023
NPPES CertifiedMarch 24, 2023
✔ NPI 1417650847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
5633 TYLERSVILLE RD STE B, Mason, OH 45040
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Other Providers at the Same Location NPPES 2

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

ABIGAIL BEATHAM APRN
Nurse Practitioner (Family)
5633 TYLERSVILLE RD STE B
MASON, OH 45040
Warren County (513) 622-9287
MRS. ERIN RACHELLE RUSSELL MSN, FNP-BC
Nurse Practitioner (Family)
5633 TYLERSVILLE RD STE B
MASON, OH 45040
Warren County (513) 622-9595

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 LLC's NPI number?

The NPI number for Tri State Medical LLC is 1417650847. It was assigned to this organization in the NPPES registry on March 24, 2023.

Where is Tri State Medical LLC located?

Tri State Medical LLC is located at 5633 Tylersville Rd Ste B, Mason, OH 45040. The listed phone number is (937) 681-9258.

What is Tri State Medical LLC's specialty?

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

What insurance does Tri State Medical LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Tri State Medical LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tri State Medical LLC was last updated on March 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.