CONVENIENT CARE CENTER-BEAVER
NPI 1508001538
Nurse Practitioner in Beaver, PA

Q: What is Tri-State Medical Group, Inc's NPI number?

The NPI number for Tri-State Medical Group, Inc is 1508001538. It was assigned to this organization in the NPPES registry on December 4, 2008. The provider is doing business as Convenient Care Center-Beaver.

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

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since December 04, 2008

274 3RD ST, SUITE 100, BEAVER, PA 15009(724) 774-2942(724) 774-2942 Get Directions Write a Review

NPPES record last updated: December 4, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Convenient Care Center-beaver NPPES

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

CONVENIENT CARE CENTER-BEAVER (NPI 1508001538) is a healthcare organization registered as a nurse practitioner in Beaver, Pennsylvania and active in the NPI registry since December 2008. The organization lists Norman F. Mitry, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1508001538

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameTRI-STATE MEDICAL GROUP, INC

Location Address274 3RD ST, SUITE 100Beaver, PA 15009-2333

Mailing Address274 3rd St, Suite 100Beaver, PA 15009-2333 · (724) 774-2942 · Fax (724) 774-2942

Phone(724) 774-2942

Fax(724) 774-2942

Organization SubpartNo

Authorized OfficialNorman F. MitryPresident & Ceo · (724) 773-4776

Enumeration DateDecember 4, 2008

✔ NPI 1508001538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedPediatricsTaxonomy 208000000X

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X

274 3RD ST, Beaver, PA 15009

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Other Names 1

Doing Business AsConvenient Care Center-beaver

Other Identifiers 7

Medicaid0015654460023PA

Medicare PIN015888PA

Medicaid0015486320010PA

Medicaid0202677OH

Medicare PIN808839PA

Medicaid1007289980010PA

Medicare PIN807864PA

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

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.

HACZELA CHIROPRACTIC CENTER, P.C.

Chiropractor

274 3RD ST
BEAVER, PA 15009

Beaver County (724) 775-1214

JANE GAGNE M.D.

Family Medicine

274 3RD ST, SUITE 100
BEAVER, PA 15009

Beaver County (724) 774-5700

DR. MICHAEL JOHN HACZELA D.C.

Chiropractor (Sports Physician)

274 3RD ST
BEAVER, PA 15009

Beaver County (724) 775-1214

MARIE WINTER

Nurse Practitioner (Family)

274 3RD ST, SUITE A
BEAVER, PA 15009

Beaver County (724) 774-2942

MRS. NATALIE BRAHM PA-C

Physician Assistant

274 3RD ST
BEAVER, PA 15009

Beaver County (724) 775-2112

HERITAGE VALLEY MEDICAL GROUP, INC.

Surgery

274 3RD ST
BEAVER, PA 15009

Beaver County (724) 775-2112

ASSOCIATION OF SPECIALTY PHYSICIANS, INC.

Surgery (Vascular Surgery)

274 3RD ST
BEAVER, PA 15009

Beaver County (724) 775-2112

DR. GEOFFREY R HERALD M.D.

Surgery

274 3RD ST
BEAVER, PA 15009

Beaver County (724) 775-2112

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 1508001538. It was assigned to this organization in the NPPES registry on December 4, 2008. The provider is doing business as Convenient Care Center-Beaver.

Where is Tri-State Medical Group, Inc located?

Tri-State Medical Group, Inc is located at 274 3rd St Suite 100, Beaver, PA 15009. 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 Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Tri-State Medical Group, Inc was last updated on December 4, 2008. 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.