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
—
—
332900000X
Non-Pharmacy Dispensing Site
26192
KY
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
363AM0700X
Medical Physician Assistant
—
—
363LA2100X
Acute Care Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
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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