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KENTUCKY HEART INSTITUTE NPI 1346539541


NPI Information

NPI: 1346539541
Provider Name: KENTUCKY HEART INSTITUTE

Doing Business As: TRI-STATE VASCULAR SPECIALISTS

Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
613 23RD ST
SUITE 140
ASHLAND, KY
ZIP 41101
Phone: (606) 326-1675
Get Directions

KENTUCKY HEART INSTITUTE is a vascular surgery surgery in Ashland, KY. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. KENTUCKY HEART INSTITUTE NPI is 1346539541. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Tri-state Vascular Specialists.

The provider's business location address is:

613 23RD ST
SUITE 140
ASHLAND, KY
ZIP 41101-878
Phone: (606) 326-1675
Fax: (606) 326-1436

The provider's authorized official is Sara Marks .
The authorized official title is Vice-president and has the following contact phone number (606) 324-4745.

The enumeration date for this NPI number is 3/29/2011 and was last updated on 6/18/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic RadiologyNo
22085R0204XRadiologyVascular & Interventional RadiologyNo
3363A00000XPhysician AssistantNo
4363LF0000XNurse PractitionerFamily3007367KENTUCKYNo
5363L00000XNurse PractitionerNo
6363LA2200XNurse PractitionerAdult HealthNo
72086S0129XSurgeryVascular SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17100164890MEDICAIDKENTUCKY
200788MEDICARE PINKENTUCKY
37100162260MEDICAIDKENTUCKY
49379841MEDICARE PINOHIO
53135842MEDICAIDOHIO
63810020985MEDICAIDWEST VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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