OrganizationActive
Tri State Medical LLC
NPI 1417650847 · Family Medicine Physician · Mason, OH
Tri State Medical LLC is a Family Medicine Physician organization in Mason, OH (NPI 1417650847).
Provider details
- NPI number
- 1417650847
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Stephen Ericson, Member(937) 681-9258
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5633 Tylersville Rd Ste B
Mason, OH 45040-2533
Phone: (937) 681-9258
Approximate (ZIP-level) locationGet directions
Mailing address
5633 Tylersville Rd Ste B
Mason, OH 45040-2533
Registry dates
- Enumerated
- 2023-03-24
- Last updated
- 2023-03-24
- Certified
- 2023-03-24
Frequently asked questions
- What is Tri State Medical LLC's NPI number?
- Tri State Medical LLC's National Provider Identifier (NPI) is 1417650847, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tri State Medical LLC?
- Tri State Medical LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Tri State Medical LLC located?
- Tri State Medical LLC's practice location on file with NPPES is 5633 Tylersville Rd Ste B, Mason, OH 45040-2533.
- What is Tri State Medical LLC's phone number?
- The practice phone number listed in the NPPES registry for Tri State Medical LLC is (937) 681-9258.
- Who is the authorized official for Tri State Medical LLC?
- The authorized official listed on Tri State Medical LLC's NPPES record is Stephen Ericson, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tri State Medical LLC's NPI active?
- Yes — Tri State Medical LLC's NPI (1417650847) is active in the NPPES registry as of the last update on 2023-03-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.