Tri-State Eecp

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

18236 Issued in WV

Legal business name

TRI-STATE EECP

Practice address

2900 1St Ave
Huntington, WV 25702-1241

Phone

(304) 522-3773

NPI assigned

Mar 8, 2008

Organization subpart

No

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

Authorized official

Name

Jason H Ross

Title

Manager

Phone

(304) 522-3773

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1204934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212796800000",
    "number": "1205006962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 997",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257130997",
            "telephone_number": "304-522-3773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 1ST AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257021241",
            "telephone_number": "304-522-3773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-STATE EECP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-08",
        "last_updated": "2008-06-07",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "304-522-3773"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "18236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tri State Neurology PLLC
• Tri State Neuroscience Center Inc
• Tri-State Addiction Recovery Resources
• Tri-State Addiction Recovery Resources
• Tri-State Allergy, Inc
• Tri-State Eye Care Center, LTD.
• Tri-State Hearing Services LLC (Ascent Audiology & Hearing)
• Tri-State MRI PTR
• Tri-State Occupational Medicine, Inc.
• Tri-State Private Practice PLLC

• 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 7, 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.