Provider Type Icon

TRI-STATE HEM-ONC PSC NPI 1659322618


NPI Information

NPI: 1659322618
Provider Name: TRI-STATE HEM-ONC PSC
Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
617 23RD ST
SUITE 19
ASHLAND, KY
ZIP 41101
Phone: (606) 325-2221
Get Directions

TRI-STATE HEM-ONC PSC is a hematology and oncology internal medicine in Ashland, KY. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. TRI-STATE HEM-ONC PSC NPI is 1659322618. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

617 23RD ST
SUITE 19
ASHLAND, KY
ZIP 41101-845
Phone: (606) 325-2221
Fax: (606) 324-1326

The provider's authorized official is David Kendall Goebel .
The authorized official title is President/owner and has the following contact phone number (606) 325-2221.

The enumeration date for this NPI number is 5/15/2006 and was last updated on 7/1/2010.


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
1207RH0003XInternal MedicineHematology & OncologyYes

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
165925794MEDICAIDKENTUCKY
25279580001MEDICARE NSCKENTUCKY
3W99128MEDICARE UPINKENTUCKY

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.