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NPI Code Detail

MEDICARE: TRI STATE UROLOGIC SERVICES PSC INC

MEDICARE: TRI STATE UROLOGIC SERVICES PSC INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies
2208800000XUrology Physician

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2CC2433OTHEROHRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1396938312
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRI STATE UROLOGIC SERVICES PSC INC
Provider Business Mailing Address
First Line : 2000 JOSEPH E SANKER BLVD
Second Line :
City : CINCINNATI
State : OH
Zip : 45212-1979
Country : US
Telephone Number : 513-841-7400
Fax Number : 513-841-7401
Provider Business Practice Location Address
First Line : 3301 MERCY HEALTH BLVD
Second Line : SUITE 525
City : CINCINNATI
State : OH
Zip : 45211-1104
Country : US
Telephone Number : 513-841-7700
Fax Number : 513-841-7701
Authorized Official
Title or Position : CEO
Name : EARL L WALZ
Credential :
Telephone Number : 513-841-7400
Provider Enumeration Date : 08/22/2007
Last Update Date : 03/09/2026

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Practice Fax: 513-841-7701

Directions to “TRI STATE UROLOGIC SERVICES PSC INC ” Practice Location

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