Tri-State Private Practice PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

26179 Issued in WV

Legal business name

TRI-STATE PRIVATE PRACTICE PLLC

Practice address

2547 3Rd Ave
Huntington, WV 25703-1642

Phone

(304) 638-9128

NPI assigned

Jun 13, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Skyler Smith, M.D.

Title

Owner

Phone

(304) 638-9128

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465776000000",
    "number": "1043660855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2547 3RD AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257031642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2547 3RD AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257031642",
            "telephone_number": "304-638-9128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-STATE PRIVATE PRACTICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-13",
        "last_updated": "2016-06-13",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SKYLER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-638-9128",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "26179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tri-State Eecp
• Tri-State Eye Care Center, LTD.
• Tri-State Hearing Services LLC
• Tri-State MRI PTR
• Tri-State Occupational Medicine, Inc.
• Tri-State Prosthetic Orthotic Center
• Jazzelle Tribble
• Janice Gail Triplett
• Kimberly Dawn Triplett, DO
• Terrence Wayne Triplett, MD

• Internal Medicine Physician in Huntington, WV
• Providers in Huntington, WV by specialty
• Internal Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.