Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tri State Medical LLC

Organization Family Medicine Physician · NPI 1417650847

Tri State Medical LLC is a Family Medicine Physician in Mason, Ohio. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5633 Tylersville Rd Ste B
Mason, OH 45040-2533
Phone: (937) 681-9258
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1417650847
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephen Ericson — Member · (937) 681-9258
NPI enumeratedMarch 24, 2023
Last updated in NPPESMarch 24, 2023
Certification dateMarch 24, 2023
Mailing address5633 Tylersville Rd Ste B, Mason, OH 45040-2533

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