DR. CHAD JACOB TARABOLOUS


Address: 617 23rd St, Suite 19, Ashland, KY 41101-2880
Phone: 6063252221

DR. CHAD JACOB TARABOLOUS (NPI# 1023271913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023271913
Entity Type Individual
Full Name DR. CHAD JACOB TARABOLOUS
Credential M.D.
Practice Address 617 23rd St
Suite 19
Ashland
KY 41101-2880
Mailing Address Po Box 2379
Ashland
KY 41105-2379
Practice Telephone 6063252221
Practice Fax Number 6063241326
Mailing Telephone 6064086200
Mailing Fax Number 6064086612
Enumeration Date 2008-07-09
Last Update Date 2016-01-07
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine MT193645 PA Allopathic & Osteopathic Physicians
Y 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
47626 KY Allopathic & Osteopathic Physicians

Office Location

Street Address 617 23RD ST
SUITE 19
City ASHLAND
State KY
Zip Code 41101-2880

Providers in the same location

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
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
1194904490 Ashland Plastic Surgery Inc Psc Plastic Surgery 617 23rd St, Ashland, KY 41101-2880 2007-11-02
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207RH0003X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology & Oncology

Taxonomy Definition

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.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285999284 Surabhi Pathak Internal Medicine 613 23rd St Ste 19, Ashland, KY 41101-2878 2012-07-06
1366599219 Catherine A Jones Internal Medicine 350 Hillcrest Dr Ste H-1, Ashland, OH 44805-4052 2007-01-04
1952370066 Kirti K Jain Internal Medicine 122 Saint Christopher Dr, Ashland, KY 41101 2006-03-14
1073512133 Dana Allen Johnson Internal Medicine 617 23rd St, Suite 19, Ashland, KY 41101-2845 2005-07-20
1114328705 Bellefonte Physician Services, Inc. Internal Medicine 300 Saint Christopher Dr, Ashland, KY 41101-7020 2014-09-15
1629311774 Mohammad Ali Syed Jafri Internal Medicine 613 23rd St Ste 19, Ashland, KY 41101-2878 2013-03-27
1164752952 Venu Madhav Konala Internal Medicine 122 Saint Christopher Dr, Ashland, KY 41101-7016 2009-12-30
1538334420 Galena Salem Internal Medicine 617 23rd St Ste 19, Ashland, KY 41101-2845 2008-04-23
1346412285 Vinay Vermani, M.d., Dba Tri-state Cancer and Blood Specialist Internal Medicine 2301 Lexington Ave, Suite 135, Ashland, KY 41101-2873 2008-04-01
1417129354 Vinay Vermani, M.d., Dba Tri-state Cancer and Blood Specialist Internal Medicine 2301 Lexington Ave, Suite 135, Ashland, KY 41101-2873 2008-04-01
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City ASHLAND
Zip Code 41101

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Dataset Information

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.

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