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Tri-State Medical Group, Inc

Nurse Practitioner in Beaver, PA · enumerated 2008 · authorized official Norman Mitry, President & Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1508001538

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Tri-State Medical Group, Inc
Other name <Unavail>
Practice address 274 3rd St, Suite 100, Beaver, PA, 15009
Fax (724) 774-2942
Enumeration date Dec 4, 2008
Last updated in NPPES Dec 4, 2008

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Secondary
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Secondary
208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary
363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary
363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Primary
363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary
363LP0200X Pediatric Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary
363LP2300X Primary Care Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Norman Mitry
Title President & Ceo

Other identifiers

Identifier Type State Issuer
0015654460023 Medicaid PA -
0015486320010 Medicaid PA -
0202677 Medicaid OH -
1007289980010 Medicaid PA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Tri-State Medical Group, Inc?
Tri-State Medical Group, Inc is registered in NPPES as a Nurse Practitioner (its primary provider taxonomy).

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-12-04.