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).
| 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 |
| 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 |
| Street Address |
617 23RD ST SUITE 19 |
| City | ASHLAND |
| State | KY |
| Zip Code | 41101-2880 |
| 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 |
| 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 | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| 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 |
| 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 |
| 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.