Tri-State Hem-Onc PSC

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

Legal business name

TRI-STATE HEM-ONC PSC

Practice address

617 23Rd St
Suite 19
Ashland, KY 41101-2845

Phone

(606) 325-2221

Fax

(606) 324-1326

NPI assigned

May 15, 2006

Organization subpart

No

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

Authorized official

Name

Dr. David Kendall Goebel, M.D.

Title

President/Owner

Phone

(606) 325-2221

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277942400000",
    "number": "1659322618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 23RD ST",
            "address_2": "SUITE 19",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411012845",
            "telephone_number": "606-325-2221",
            "fax_number": "606-324-1326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 23RD ST",
            "address_2": "SUITE 19",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411012845",
            "telephone_number": "606-325-2221",
            "fax_number": "606-324-1326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-STATE HEM-ONC PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2010-07-01",
        "status": "A",
        "authorized_official_last_name": "GOEBEL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "KENDALL",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "606-325-2221",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65925794",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tri-State Anesthesiology, PSC
• Tri-State Cardiology Associates PSC
• Tri-State Diabetes and Endocrinology PLLC
• Tri-State Digestive Disease Assoc PSC.
• Tri-State Family Medicine, PSC
• Tri-State Mobility, LLC
• Tri-State Ophthalmology Associates PSC
• Tri-State Oral & Facial Surgery
• Tri-State Pediatrics
• Tri-State Psychological Services, PLLC

• Hematology & Oncology Physician in Ashland, KY
• Providers in Ashland, KY by specialty
• Hematology & Oncology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2010; 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.