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TRI-STATE DIGESTIVE DISEASE ASSOC PSC. NPI 1851467237


NPI Information

NPI: 1851467237
Provider Name: TRI-STATE DIGESTIVE DISEASE ASSOC PSC.
Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

Address:
617 23RD ST
SUIYE 11
ASHLAND, KY
ZIP 41101
Phone: (606) 324-3188
Get Directions

TRI-STATE DIGESTIVE DISEASE ASSOC PSC. is a gastroenterology internal medicine in Ashland, KY. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. TRI-STATE DIGESTIVE DISEASE ASSOC PSC. NPI is 1851467237. 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
SUIYE 11
ASHLAND, KY
ZIP 41101-845
Phone: (606) 324-3188
Fax: (606) 329-2237

The provider's authorized official is Michael Don Canty .
The authorized official title is President and has the following contact phone number (606) 324-3188.

The enumeration date for this NPI number is 11/28/2006 and was last updated on 1/11/2012.


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
1207RG0100XInternal MedicineGastroenterologyKENTUCKYYes

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
165920845MEDICAIDKENTUCKY
21851467237MEDICARE OSCAR/CERTIFICATIONKENTUCKY
35258MEDICARE PINKENTUCKY
40126072MEDICAIDOHIO

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

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