TRI-STATE ALLERGY, INC (NPI# 1386786796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386786796 |
| Entity Type | Organization |
| Organization Name | TRI-STATE ALLERGY, INC |
| Practice Address |
2301 Lexington Ave Ste 105 Ashland KY 41101-2807 |
| Mailing Address |
1001 20th St Huntington WV 25703-2019 |
| Practice Telephone | 3045296100 |
| Practice Fax Number | 3045290229 |
| Mailing Telephone | 3045296100 |
| Mailing Fax Number | 3045290229 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2014-09-05 |
| Authorized Official Name | DR. MATTHEW C WILSON (PRESIDENT) |
| Authorized Official Telephone | 3045296100 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64694763 | 05 | |
| KY | 65930083 | 05 | |
| KY | 64698772 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902906019 | Tri-state Allergy, Inc | Allergy & Immunology | 1001 20th Street, Huntington, WV 25703 | 2006-09-25 |
| Street Address |
2301 LEXINGTON AVE STE 105 |
| City | ASHLAND |
| State | KY |
| Zip Code | 41101-2807 |
| 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 | 207KA0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| Specialization | Allergy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205976867 | Allergy & Asthma Center of Southern Oregon PC | Allergy & Immunology | 2262 Ashland St, Ashland, OR 97520-1406 | 2007-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326216052 | Allergy Asthma & Sinus Center Pllc | Allergy & Immunology | 1136 Monarch St, Lexington, KY 40513-1888 | 2008-02-15 |
| 1124092499 | James D Clifford | Allergy & Immunology | 1136 Monarch Street, Lexington, KY 40513 | 2006-02-14 |
| 1831193788 | Barbara S. Isaacs | Allergy & Immunology | 801 Barret Ave, Ste 110, Louisville, KY 40204-1732 | 2005-06-09 |
| 1841821659 | Mobile Allergy & Urgent Care LLC | Allergy & Immunology | 3260 Lexington Rd, Nicholasville, KY 40356-9798 | 2020-01-30 |
| 1033436282 | University Pediatrics Foundation, Inc. | Allergy & Immunology | 9800 Shelbyville Rd, Louisville, KY 40223-2977 | 2010-04-28 |
| 1780828871 | Allergy and Asthma Clinic, Pllc | Allergy & Immunology | 2312 Kentucky Ave, Paducah, KY 42003-3244 | 2009-04-21 |
| 1275653909 | Fragge Allergy & Asthma Clinics Psc | Allergy & Immunology | 2300 Chamber Center Dr, Suite 102, Lakeside Park, KY 41017-1673 | 2007-03-29 |
| 1134230709 | Peter F. Ballard | Allergy & Immunology | 478 Whirlaway Dr, Suite 100, Danville, KY 40422-9037 | 2006-08-31 |
| 1285740175 | Eastern Ky Allergy and Asthma Pllc | Allergy & Immunology | 11021 Main St, Martin, KY 41649 | 2006-08-22 |
| 1922084391 | Iraklis C Livas | Allergy & Immunology | 1019 Majestic Dr, Suite 210, Lexington, KY 40513-1895 | 2005-12-19 |
| Find all providers with the same taxonomy | ||||
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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.