Organization Active NPI

Tri-State Diabetes and Endocrinology PLLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Ashland, KY
National Provider Identifier
1215122353
Registry record updated Dec 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
TRI-STATE DIABETES AND ENDOCRINOLOGY PLLC
Practice address
2301 Lexington Ave
Ste 220
Ashland, KY 41101-2873
Phone
(606) 327-0055
Fax
(606) 327-0054
NPI assigned
Sep 12, 2007
Last updated
Dec 3, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2019

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

Authorized official

Name
Dr. Jamal Merhy, MDNPI 1720039332
Title
President
Phone
(606) 327-0055

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU
Endocrinology, Diabetes & Metabolism Physician 207RE0101X NU Primary

Addresses

Primary practice location

2301 Lexington Ave
Ste 220
Ashland, KY 41101-2873

Mailing address

2301 Lexington Ave
Ste 220
Ashland, KY 41101-2873
Phone (606) 327-0055

Other identifiers 1

IdentifierTypeStateIssuer
DG2468OtherRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

2301 Lexington Ave
Ste 220
Ashland, KY 41101
Phone (606) 327-0055

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575331200000",
    "number": "1215122353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 LEXINGTON AVE",
            "address_2": "STE 220",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411012873",
            "telephone_number": "606-327-0055",
            "fax_number": "606-327-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 LEXINGTON AVE",
            "address_2": "STE 220",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411012873",
            "telephone_number": "606-327-0055",
            "fax_number": "606-327-0054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-STATE DIABETES AND ENDOCRINOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-12",
        "last_updated": "2019-12-03",
        "status": "A",
        "authorized_official_last_name": "MERHY",
        "authorized_official_first_name": "JAMAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "606-327-0055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DG2468",
            "state": null
        }
    ],
    "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 Dec 3, 2019; 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.