# TRI STATE UROLOGIC SERVICES PSC INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** The Urology Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275726580
- **Authorized official:** DANIEL SCHRAFF (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (614) 339-3998

## Contact information

- **Practice address:** 350 THOMAS MORE PKWY STE 200, CRESTVIEW HILLS, KY 41017-5460
- **Practice address phone:** (859) 363-2200
- **Mailing address:** 2000 JOSEPH SANKER BLVD, CINCINNATI, OH 45212-1979
- **Mailing address phone:** (513) 841-7400
- **Mailing address fax:** (513) 841-7402

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | — | NULL | Yes |
| 208800000X | Urology Physician | — | — | Yes |
| 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

- **Enumeration date:** 08/20/2007
- **Last updated:** 03/09/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2158101 | PK | — |