NPIMap

Organization Active NPI

Tri-State Radiology, PSC

  • Diagnostic Radiology Physician
  • Ashland, KY
National Provider Identifier
1700823275
Registry record updated Nov 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
TRI-STATE RADIOLOGY, PSC
Practice address
2201 Lexington Ave
Kings Daughter Medical Center
Ashland, KY 41101-2843
Phone
(606) 833-5741
Fax
(859) 223-2732
NPI assigned
Jun 1, 2006
Last updated
Nov 15, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2007

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

Authorized official

Name
Dr. Candy Boykin, MD
Title
Group President
Phone
(606) 327-4633

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

2201 Lexington Ave
Kings Daughter Medical Center
Ashland, KY 41101-2843

Mailing address

PO Box 2408
Ashland, KY 41105-2408
Phone (606) 327-4633

Other identifiers 1

IdentifierTypeStateIssuer
65927279MedicaidKY

National Provider Directory

National Provider Directory

Locations

1200 Bath Ave
Ashland, KY 41101
Phone (606) 329-9715

Practitioners & affiliated clinicians

Practitioners 23

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.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1700823275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2408",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411052408",
            "telephone_number": "606-327-4633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 LEXINGTON AVE",
            "address_2": "KINGS DAUGHTER MEDICAL CENTER",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411012843",
            "telephone_number": "606-833-5741",
            "fax_number": "859-223-2732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-STATE RADIOLOGY, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2007-11-15",
        "status": "A",
        "authorized_official_last_name": "BOYKIN",
        "authorized_official_first_name": "CANDY",
        "authorized_official_title_or_position": "GROUP PRESIDENT",
        "authorized_official_telephone_number": "606-327-4633",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65927279",
            "state": "KY"
        }
    ],
    "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 Nov 15, 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.