1215122353 NPI number — TRI-STATE DIABETES AND ENDOCRINOLOGY PLLC

Table of content: (NPI 1215122353)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1215122353 NPI number — TRI-STATE DIABETES AND ENDOCRINOLOGY PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TRI-STATE DIABETES AND ENDOCRINOLOGY PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1215122353
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/03/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2301 LEXINGTON AVE
Provider Second Line Business Mailing Address:
STE 220
Provider Business Mailing Address City Name:
ASHLAND
Provider Business Mailing Address State Name:
KY
Provider Business Mailing Address Postal Code:
41101-2873
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
606-327-0055
Provider Business Mailing Address Fax Number:
606-327-0054

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2301 LEXINGTON AVE
Provider Second Line Business Practice Location Address:
STE 220
Provider Business Practice Location Address City Name:
ASHLAND
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
41101-2873
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
606-327-0055
Provider Business Practice Location Address Fax Number:
606-327-0054
Provider Enumeration Date:
09/12/2007

Additional Information

Authorized Official

Authorized Official Last Name:
MERHY
Authorized Official First Name:
JAMAL
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
606-327-0055

Provider Taxonomy Codes

  • Taxonomy code: 174400000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RE0101X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: DG2468 . This is a "RAILROAD MEDICARE" identifier . This identifiers is of the category "OTHER".




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