Tri-State Pediatrics in Ashland - Specialist

Tri-State Pediatrics - NPI 1013098904

Tri-State Pediatrics is a Specialist in Ashland, Kentucky. Tri-State Pediatrics practices all healthcare services and medical treatments related to Specialist. The NPI Number for Tri-State Pediatrics is 1013098904. The last update date is 2020-08-22.

Tri-State Pediatrics's current location address is 900 Saint Christopher Dr, Ashland, Kentucky. You can contact this provider via phone number 6068360919 and fax number 6068362847. The mailing address for Tri-State Pediatrics is 900 Saint Christopher Dr, Ashland, Kentucky. To know further, please read the information below!

Provider Profile Detail

Provider Organization Tri-State Pediatrics
Address 900 Saint Christopher Dr, Ashland, Kentucky
Phone Number 6068360919
Fax Number 6068362847
Sole Proprietor --
Credentials --

Authorized Official

Title or Position BILLING CL
Authorized Official Name Sisler Elizabeth Michelle
Telephone Number 6068360919

NPI Number Detail

NPI Number 1013098904
Provider Enumeration Date 2006-10-18
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 900 Saint Christopher Dr
City Ashland
State Kentucky (KY)
Post Code 411017090
Phone Number 6068360919
Fax Number 6068362847

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 25781
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
64011059 KY --
2639 KY KY LICENSE
38597 KY KY LICENSE
64066384 KY --
2271429 OH --
665310 OH --
25781 KY KY LICENSE
64257819 KY --

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FAQs about Tri-State Pediatrics

What is the unique provider identifier assigned to Tri-State Pediatrics?

The Tri-State Pediatrics has been issued the NPI (National Provider Identifier) 1013098904 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Where is the Tri-State Pediatrics located?

The Tri-State Pediatrics is located at 900 Saint Christopher Dr, Ashland, KY 411017090.

What is the Tri-State Pediatrics's specialty and taxonomy code?

The Tri-State Pediatrics's specialty is Specialist, and the corresponding taxonomy code is 174400000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1013098904 to Tri-State Pediatrics?

The Centers for Medicare & Medicaid Services originally issued the 1013098904 to Tri-State Pediatrics on 2006-10-18.

When was the information pertaining to Tri-State Pediatrics most recently updated or revised?

The details related to Tri-State Pediatrics, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.

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