Organization Active NPI

Tristate Infectious Disease Consultants, PSC

  • Infectious Disease Physician
  • Ashland, KY
National Provider Identifier
1609950476
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
Legal business name
TRISTATE INFECTIOUS DISEASE CONSULTANTS, PSC
Practice address
2301 Lexington Ave
Ste 125
Ashland, KY 41101-2873
Phone
(606) 325-2721
Fax
(606) 325-2416
NPI assigned
Oct 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Cecilia Gaynor, MD
Title
Owner
Phone
(606) 325-2721

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0200X Primary

Addresses

Primary practice location

2301 Lexington Ave
Ste 125
Ashland, KY 41101-2873

Mailing address

PO Box 1547
Ashland, KY 41105-1547
Phone (606) 325-2721

National Provider Directory

National Provider Directory

Locations

2201 Lexington Ave
Ste 101
Ashland, KY 41101

2301 Lexington Ave
Ste 125
Ashland, KY 41101
Phone (606) 325-2721

332 23rd St
Ste 2
Ashland, KY 41101

100 Ashland Dr
Ashland, KY 41101
Phone (606) 325-2721

100 Ashland Dr
Ashland, KY 41101
Phone (606) 325-2721

Practitioners & affiliated clinicians

Practitioners 3

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": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609950476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1547",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411051547",
            "telephone_number": "606-325-2721",
            "fax_number": "606-325-2416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 LEXINGTON AVE",
            "address_2": "STE 125",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411012873",
            "telephone_number": "606-325-2721",
            "fax_number": "606-325-2416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRISTATE INFECTIOUS DISEASE CONSULTANTS, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GAYNOR",
        "authorized_official_first_name": "CECILIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-325-2721",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "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 Aug 22, 2020; 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.