Active NPI
Tina M Sias, MD
- Cardiovascular Disease Physician
- Ashland, KY
National Provider Identifier
1790744548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 18204
- Practice address
- 613 23Rd St
Suite G-10
Ashland, KY 41101-2878 - Phone
- (606) 329-1997
- Fax
- (606) 329-1227
- NPI assigned
- Mar 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 18204 | WV | |
| Cardiovascular Disease Physician | 207RC0000X | 18204 | WV | Primary |
| Nuclear Cardiology Physician | 207UN0901X | 18204 | WV |
Addresses
Primary practice location
613 23Rd St
Suite G-10
Ashland, KY 41101-2878
Mailing address
PO Box 1237
Ashland, KY 41105-1237
Phone (606) 329-1997
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2153824 | Medicaid | OH | |
| 64003700 | Medicaid | KY | |
| 6030002000 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312934400000",
"number": "1790744548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1237",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411051237",
"telephone_number": "606-329-1997",
"fax_number": "606-329-1227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "613 23RD ST",
"address_2": "SUITE G-10",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411012878",
"telephone_number": "606-329-1997",
"fax_number": "606-329-1227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIAS",
"first_name": "TINA",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-21",
"last_updated": "2011-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WV",
"license": "18204",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "WV",
"license": "18204",
"primary": true
},
{
"code": "207UN0901X",
"taxonomy_group": "",
"desc": "Nuclear Medicine, Nuclear Cardiology",
"state": "WV",
"license": "18204",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2153824",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64003700",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6030002000",
"state": "WV"
}
],
"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 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.