Sanjiv Gupta M.D. P.S.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SANJIV GUPTA M.D. P.S.C.

Doing business as

Tri State Primary Care

Practice address

101 Ashland Dr
Ashland, KY 41101-7001

Phone

(606) 324-1996

NPI assigned

Apr 30, 2008

Last updated

Apr 30, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sanjiv Gupta, M.D.NPI 1487761243

Title

M.D.

Phone

(606) 324-1996

Specialties & licenses 1

Addresses

Other names 1

• Tri State Primary Care Doing business as

Tax ID family

Sanjiv Gupta MD PSC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Grayson Health Park

  • Primary Care Clinic/Center
  • Ashland, KY
  • NPI 1992258305
  NPD tax ID

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.

• Sanjiv Gupta, MD

  • Internal Medicine Physician
  • Grayson, KY
  • NPI 1487761243
  NPD (past) Authorized official

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

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209513600000",
    "number": "1396911327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 ASHLAND DR",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017001",
            "telephone_number": "606-324-1996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 ASHLAND DR",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017001",
            "telephone_number": "606-324-1996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANJIV GUPTA M.D. P.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-30",
        "last_updated": "2008-04-30",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "SANJIV",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "606-324-1996",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tri State Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Drew Sanders, RN
• John Adams Sanders, MD
• Linda D Sanders, LSW
• Thomas Clifton Sanders
• Sangeeta Rahul Patil MD PSC
• Sanjiv Gupta, M.D., P.S.C.
• Emily Ann Sargent, APRN
• Sandeep Singh Saroch, M.D.
• Emily Sarver, PA-C
• Jeanetta Savage Brown, PA-C

• Family Medicine Physician in Ashland, KY
• Providers in Ashland, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.