Organization Active NPI

Tri-State Cardiology Associates PSC

  • Internal Medicine Physician
  • Ashland, KY
National Provider Identifier
1205024916
Registry record updated Oct 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
24576 Issued in KY
Legal business name
TRI-STATE CARDIOLOGY ASSOCIATES PSC
Practice address
2301 Lexington Ave
Ste 320
Ashland, KY 41101
Phone
(740) 646-9049
NPI assigned
Oct 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2007

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

Authorized official

Name
Jenny Vallance
Title
Office Manager
Phone
(740) 894-8160

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 24576 KY Primary

Addresses

Primary practice location

2301 Lexington Ave
Ste 320
Ashland, KY 41101

Mailing address

2301 Lexington Ave
Ste 320
Ashland, KY 41101
Phone (740) 646-9049

National Provider Directory

National Provider Directory

Locations

2301 Lexington Ave
Ste 320
Ashland, KY 41101
Phone (606) 329-2527

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1205024916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 LEXINGTON AVE",
            "address_2": "STE 320",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "41101",
            "telephone_number": "740-646-9049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 LEXINGTON AVE",
            "address_2": "STE 320",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "41101",
            "telephone_number": "740-646-9049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-STATE CARDIOLOGY ASSOCIATES PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "VALLANCE",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "740-894-8160"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "24576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; 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.