Tri-State Oral & Facial Surgery

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

34851 Issued in KY

Legal business name

TRI-STATE ORAL & FACIAL SURGERY

Practice address

2844 Carter Ave
Ashland, KY 41101-1917

Phone

(606) 329-1115

NPI assigned

May 27, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Michael D. Courcho, DMD, MD

Title

President

Phone

(606) 329-1115

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael D. Couchot, DMD, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Ashland, KY
  • NPI 1437258365
  NPD (past)

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211846400000",
    "number": "1154589216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2844 CARTER AVE",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411011917",
            "telephone_number": "606-329-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2844 CARTER AVE",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411011917",
            "telephone_number": "606-329-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-STATE ORAL & FACIAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-27",
        "last_updated": "2008-05-27",
        "status": "A",
        "authorized_official_last_name": "COURCHO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "606-329-1115",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "KY",
            "license": "34851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "61900452",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65935769",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tri-State Digestive Disease Assoc PSC.
• Tri-State Family Medicine, PSC
• Tri-State Hem-Onc PSC
• Tri-State Mobility, LLC
• Tri-State Ophthalmology Associates PSC
• Tri-State Pediatrics
• Tri-State Psychological Services, PLLC
• Tri-State Pulmonary Assoc PSC
• Tri-State Radiology, PSC
• Tri-State Stairlifts & Mobility Equipment

• Surgery Physician in Ashland, KY
• Providers in Ashland, KY by specialty
• Surgery Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; 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.