Provider Demographics
NPI:1952445637
Name:STEPHEN DONA, D. O.
Entity Type:Organization
Organization Name:STEPHEN DONA, D. O.
Other - Org Name:TRI-COUNTY UROLOGY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:L
Authorized Official - Last Name:DONA
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:937-439-6242
Mailing Address - Street 1:8934 KINGSRIDGE DR
Mailing Address - Street 2:STE 102
Mailing Address - City:CENTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45458-1633
Mailing Address - Country:US
Mailing Address - Phone:937-439-6242
Mailing Address - Fax:937-439-6245
Practice Address - Street 1:8934 KINGSRIDGE DR
Practice Address - Street 2:STE 102
Practice Address - City:CENTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:45458-1626
Practice Address - Country:US
Practice Address - Phone:937-439-6242
Practice Address - Fax:937-439-6245
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-16
Last Update Date:2013-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2088P0231XAllopathic & Osteopathic PhysiciansUrologyPediatric UrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0059556Medicaid
OH0741960Medicaid
OH0741960Medicaid