TRI-STATE ALLERGY, INC (NPI# 1902906019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902906019 |
Entity Type | Organization |
Organization Name | TRI-STATE ALLERGY, INC |
Practice Address |
1001 20th Street Huntington WV 25703 |
Practice Telephone | 3045296100 |
Practice Fax Number | 3045290229 |
Mailing Telephone | 3045296100 |
Mailing Fax Number | 3045290229 |
Enumeration Date | 2006-09-25 |
Last Update Date | 2014-09-05 |
Authorized Official Name | DR. MATTHEW C WILSON (PRESIDENT OWNER) |
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 | 0011693000 | 05 | |
KY | 64694763 | 05 | |
OH | L0874442 | 05 | |
WV | 0070510000 | 05 | |
OH | L0968403 | 05 | |
OH | L0489556 | 05 | |
WV | 0044083000 | 05 | |
KY | 64698772 | 05 | |
KY | 659300083 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386786796 | Tri-state Allergy, Inc | Allergy & Immunology | 2301 Lexington Ave Ste 105, Ashland, KY 41101-2807 | 2007-02-13 |
Street Address |
1001 20TH STREET |
City | HUNTINGTON |
State | WV |
Zip Code | 25703 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710590021 | Jasmine Maynard | Student in an Organized Health Care Education/Training Program | 1538 Charleston Ave, Huntington, WV 25703 | 2020-08-26 |
1073161022 | Art Phillips | Student in an Organized Health Care Education/Training Program | Kopp Building, 1 John Marshall Drive, Huntington, WV 25703 | 2019-09-03 |
1447612742 | Ruthie Cooper | Psychiatry & Neurology | 1115 20th St # 205, Huntington, WV 25703 | 2016-03-25 |
1194047548 | Peggy Jo Proudfoot Harman | Counselor | 320 18th St., Gullickson Hall Suite G01, Huntington, WV 25703 | 2010-02-25 |
1598837460 | Frederick H Sammons Dds Ltd | Dentist | 1040 20th St, Huntington, WV 25703 | 2006-11-15 |
1649368291 | Sportscare Medical Associates, Inc. | Neuromusculoskeletal Medicine, Sports Medicine | 320 Lynda Ct, Huntington, WV 25703 | 2006-10-10 |
1568472512 | Jamie R Stoner | Nurse Practitioner | 2501 3rd Avenue, Huntington, WV 25703 | 2006-08-09 |
1790717940 | Jeffrey T Boggess | Psychologist | 1115 20th Street, Suite 205, Huntington, WV 25703 | 2006-07-07 |
1184699415 | Valley Health Systems Inc | Obstetrics & Gynecology | 2585 3rd Ave, Huntington, WV 25703 | 2006-02-21 |
1578533345 | Amanda K Bennett | Family Medicine | 2585 3rd Avenue, Huntington, WV 25703 | 2006-01-25 |
Find all providers in zip 25703 |
Taxonomy Code | 207KA0200X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Allergy & Immunology |
Specialization | Allergy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053350751 | Larry Lynn Hagan | Allergy & Immunology | 1001 20th St, Huntington, WV 25703-2019 | 2006-06-06 |
1346568862 | Advanced Allergy and Asthma Care,pllc | Allergy & Immunology | 158 E Main St, Huntington, NY 11743-2988 | 2010-05-07 |
1649382532 | North Shore Medical Group of The Mount Sinai School of Medicine | Allergy & Immunology | 241 E Main St, Huntington, NY 11743-2924 | 2006-08-31 |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649312083 | Tri- State Allergy, Inc | Allergy & Immunology | 3752 Teays Valley Rd Ste 3, Hurricane, WV 25526-9705 | 2007-02-13 |
1447624093 | Nasim Sheikh | Allergy & Immunology | 4502 Maccorkle Ave Sw, South Charleston, WV 25309-1409 | 2015-11-19 |
City | HUNTINGTON |
Zip Code | 25703 |
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.