TRI-STATE DIGESTIVE DISEASE ASSOC PSC. (NPI# 1851467237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851467237 |
| Entity Type | Organization |
| Organization Name | TRI-STATE DIGESTIVE DISEASE ASSOC PSC. |
| Practice Address |
617 23rd St Suiye 11 Ashland KY 41101-2845 |
| Mailing Address |
617 23rd St Suite 11 Ashland KY 41101-2880 |
| Practice Telephone | 6063243188 |
| Practice Fax Number | 6063292237 |
| Mailing Telephone | 6063243188 |
| Mailing Fax Number | 6063292237 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2012-01-11 |
| Authorized Official Name | DR. MICHAEL DON CANTY (PRESIDENT) |
| Authorized Official Telephone | 6063243188 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0126072 | 05 | |
| KY | 65920845 | 05 |
| Street Address |
617 23RD ST SUIYE 11 |
| City | ASHLAND |
| State | KY |
| Zip Code | 41101-2845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073512133 | Dana Allen Johnson | Internal Medicine | 617 23rd St, Suite 19, Ashland, KY 41101-2845 | 2005-07-20 |
| 1023472909 | Ryan Johnson | Emergency Medicine | 617 23rd St, Ashland, KY 41101-2880 | 2016-04-07 |
| 1730555426 | Thomas L Mahoney, Md, Pllc | Specialist | 617 23rd St, Suite 415, Ashland, KY 41101-2880 | 2015-08-17 |
| 1275938904 | Jacqueline Nicole Stumbo | Nurse Practitioner | 617 23rd St, Suite 11, Ashland, KY 41101-2880 | 2014-10-23 |
| 1285999615 | Miranda Diane Davis | Nurse Practitioner | 617 23rd St, Suite415, Ashland, KY 41101-2880 | 2012-07-11 |
| 1417233909 | Labone of Ohio Inc | Clinical Medical Laboratory | 617 23rd St, Ste 415, Ashland, KY 41101-0000 | 2011-10-27 |
| 1326342304 | Jerald M. Ford, M.d., Psc | Obstetrics & Gynecology | 617 23rd St, Suite 415, Ashland, KY 41101-2880 | 2011-01-05 |
| 1023271913 | Chad Jacob Tarabolous | Internal Medicine | 617 23rd St, Suite 19, Ashland, KY 41101-2880 | 2008-07-09 |
| 1588835037 | Vascular Institute of Kentucky Psc | Nurse Practitioner | 617 23rd St, Ste. 445, Ashland, KY 41101-2880 | 2008-03-12 |
| 1770752123 | Ashland Center for Women's Health | Non-Pharmacy Dispensing Site | 617 23rd St, Ste 415, Ashland, KY 41101-2880 | 2008-02-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588217947 | Aim Wellness LLC | Family Medicine | 844 Central Avenue, Ashland, KY 41101 | 2019-07-24 |
| 1306309067 | Ccc Management, LLC | Durable Medical Equipment & Medical Supplies | 1237 Carter Ave, Ashland, KY 41101 | 2019-04-10 |
| 1366925505 | Samantha Manci | Pharmacist | 2201 Lexington Ashland, Ashalnd, KY 41101 | 2018-09-13 |
| 1174068662 | Lea Ann Reeves-gollihue | Counselor | 1701 Central Ave., Ste. 250, Ashland, KY 41101 | 2016-12-20 |
| 1245786078 | Lindsay Marie Hagerman | Respiratory Therapist, Registered | 2413 Bradley Drive, Ashland, KY 41101 | 2016-08-31 |
| 1033572540 | A Center 4 Change | Psychologist | 5900 Us 60 W, Suite B, Ashland, KY 41101 | 2016-04-01 |
| 1013301159 | Precision Analysis Lab, LLC | Clinical Medical Laboratory | 101 17th Street, Ashland, KY 41101 | 2015-03-26 |
| 1639518574 | Steven Wayne Ledford Jr. | Dentist | 2301 Lexington Ave Ste 120, Ashland, KY 41101 | 2013-06-24 |
| 1528405875 | Brittani Kay Dingess | Pediatrics | 100 Ashland Dr, Ste 102, Ashland, KY 41101 | 2013-05-28 |
| 1770813487 | Paula Jean Hogsten | Clinical Nurse Specialist | 432 - 16th Street, Suite B- Tri State Nephrology, Ashland, KY 41101 | 2009-12-31 |
| Find all providers in zip 41101 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912200114 | Bellefonte Physician Services, Inc | Internal Medicine | 1101 Saint Christopher Dr Ste 350, Ashland, KY 41101-7000 | 2010-12-09 |
| 1992813992 | Arthur Aung Gaing | Internal Medicine | 613 23rd St Ste 350, Ashland, KY 41101-2879 | 2006-08-29 |
| 1720078991 | Craig C Chow | Internal Medicine | 743 N Main St, Ashland, OR 97520-1752 | 2005-10-27 |
| 1659367654 | Rajkumar K Warrier | Internal Medicine | 300 Saint Christopher Dr, Ashland, KY 41101-7020 | 2005-09-25 |
| 1023456043 | Liege Isabel Diaz Urrutia | Internal Medicine | 613 23rd St Ste 350, Ashland, KY 41101-2879 | 2013-06-12 |
| 1154571172 | Mardini & Associates Md, Psc | Internal Medicine | 613 23rd St, Suite 120, Ashland, KY 41101-2878 | 2008-09-26 |
| 1578601787 | Ashland Gastroenterology, LLC | Internal Medicine | 743 N Main St, Ashland, OR 97520-1752 | 2007-02-01 |
| 1780736421 | Arthur A. Gaing, M.d.,pllc. | Internal Medicine | 1200 Central Ave, Suite 3, Ashland, KY 41101-7575 | 2007-01-16 |
| 1194876227 | Arthur A Gaing, M.d. | Internal Medicine | 617 23rd Street, Suite 11, Ashland, KY 41101 | 2007-01-16 |
| 1003912783 | Michael Don Canty | Internal Medicine | 617 23rd St, Suite 11, Ashland, KY 41101-2845 | 2006-09-16 |
| Find all providers in ASHLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.