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Organization
TRI STATE UROLOGIC SERVICES PSC INC
Active
Organization
TRI STATE UROLOGIC SERVICES PSC INC
Active
Other names
The Urology Group
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL SCHRAFF (CHIEF FINANCIAL OFFICER)
(614) 339-3998
Entity
Organization
Contact information
Practice address
350 THOMAS MORE PKWY STE 200, CRESTVIEW HILLS, KY 41017-5460
(859) 363-2200
Mailing address
2000 JOSEPH SANKER BLVD, CINCINNATI, OH 45212-1979
(513) 841-7400
(513) 841-7402
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
NULL
208800000X
Urology Physician
Primary
—
—
332900000X
Non-Pharmacy Dispensing Site
26192
KY
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
363AM0700X
Medical Physician Assistant
—
NULL
363AM0700X
Medical Physician Assistant
—
—
363LA2100X
Acute Care Nurse Practitioner
—
NULL
363LA2100X
Acute Care Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
367500000X
Certified Registered Nurse Anesthetist
—
NULL
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2158101
PK
—
Enumeration date
08/20/2007
Last updated
03/09/2026
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