TRI- STATE ALLERGY, INC (NPI# 1649312083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649312083 |
| Entity Type | Organization |
| Organization Name | TRI- STATE ALLERGY, INC |
| Practice Address |
3752 Teays Valley Rd Ste 3 Hurricane WV 25526-9705 |
| 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 | 2020-08-22 |
| 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 |
|---|---|---|---|
| WV | 0070510000 | 05 | |
| OH | L0874442 | 05 | |
| WV | 0044083000 | 05 | |
| OH | L0489556 | 05 |
| Street Address |
3752 TEAYS VALLEY RD STE 3 |
| City | HURRICANE |
| State | WV |
| Zip Code | 25526-9705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081707 | Paige E Walroth | Technician | 51 Overlook Dr, Hurricane, WV 25526 | 2020-10-21 |
| 1770195778 | Marilyn Sue Shank | Technician | 168 Willow Tree Way, Apt 313, Hurricane, WV 25526 | 2020-08-20 |
| 1275150351 | Wv Wellness and Recovery LLC | Clinic/Center | 4 Putnam Village Drive, Hurricane, WV 25526 | 2020-07-06 |
| 1538645718 | Patsy Samples | Technician | 3067 State Rt 34s, Hurricane, WV 25526 | 2018-07-11 |
| 1528550274 | Sarah Marie Jackson | Occupational Therapist | Genesis-putnam Center, 300 Seville Road, Hurricane, WV 25526 | 2018-05-30 |
| 1619466463 | Mh Psychological Services, Pllc | Psychologist | 125 Morris Ct, Hurricane, WV 25526 | 2018-05-08 |
| 1023510740 | William Riddle | Technician | 157 Washington Cirlce, Hurricane, WV 25526 | 2018-03-08 |
| 1942702303 | Natalie Whitman | Technician | 2933 State Route 34 South, Hurricane, WV 25526 | 2018-03-01 |
| 1972002681 | Dianna Roberts | Technician | 550 Dudding Avenue, Hurricane, WV 25526 | 2018-02-08 |
| 1174022875 | Nancy Adams | Technician | 1 Western Hills Drive, Hurricane, WV 25526 | 2018-02-08 |
| Find all providers in zip 25526 | ||||
| Taxonomy Code | 207KA0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| Specialization | Allergy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902906019 | Tri-state Allergy, Inc | Allergy & Immunology | 1001 20th Street, Huntington, WV 25703 | 2006-09-25 |
| 1053350751 | Larry Lynn Hagan | Allergy & Immunology | 1001 20th St, Huntington, WV 25703-2019 | 2006-06-06 |
| 1447624093 | Nasim Sheikh | Allergy & Immunology | 4502 Maccorkle Ave Sw, South Charleston, WV 25309-1409 | 2015-11-19 |
| 1184734758 | Joan A Lynch | Allergy & Immunology | 1001 20th St, Huntington, WV 25703-2019 | 2006-08-30 |
| 1891726295 | Matthew C Wilson | Allergy & Immunology | 1001 20th St, Huntington, WV 25703 | 2006-07-05 |
Please comment or provide details below to improve the information on TRI- STATE ALLERGY, INC.
| 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.