Active NPI
Tri-State Digestive Disease Assoc PSC.
- Gastroenterology Physician
- Ashland, KY
National Provider Identifier
1851467237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- Legal business name
- TRI-STATE DIGESTIVE DISEASE ASSOC PSC.
- Practice address
- 617 23Rd St
Suiye 11
Ashland, KY 41101-2845 - Phone
- (606) 324-3188
- Fax
- (606) 329-2237
- NPI assigned
- Nov 28, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael Don Canty, M.D.
- Title
- President
- Phone
- (606) 324-3188
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | KY | Primary |
Addresses
Primary practice location
617 23Rd St
Suiye 11
Ashland, KY 41101-2845
Mailing address
617 23Rd St
Suite 11
Ashland, KY 41101-2880
Phone (606) 324-3188
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0126072 | Medicaid | OH | |
| 65920845 | Medicaid | KY |
National Provider Directory
National Provider DirectoryLocations
617 23rd St
Ste 11
Ashland, KY 41101
Phone (606) 324-3188
617 23rd St
Ashland, KY 41101
Phone (606) 326-0300
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Personal Care Attendant
- Wheelersburg, OH
- NPI 1295331122
-
- Gastroenterology Physician
- Lewiston, ID
- NPI 1740386432
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1326240000000",
"number": "1851467237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "617 23RD ST",
"address_2": "SUITE 11",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411012880",
"telephone_number": "606-324-3188",
"fax_number": "606-329-2237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "617 23RD ST",
"address_2": "SUIYE 11",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411012845",
"telephone_number": "606-324-3188",
"fax_number": "606-329-2237"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRI-STATE DIGESTIVE DISEASE ASSOC PSC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-28",
"last_updated": "2012-01-11",
"status": "A",
"authorized_official_last_name": "CANTY",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "DON",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "606-324-3188",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": "KY",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0126072",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "65920845",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ashland, KY
- Tri-State Ambulance Service, LLC
- Tri-State Anesthesia Group PSC
- Tri-State Anesthesiology, PSC
- Tri-State Cardiology Associates PSC
- Tri-State Diabetes and Endocrinology PLLC
- Tri-State Family Medicine, PSC
- Tri-State Hem-Onc PSC
- Tri-State Mobility, LLC
- Tri-State Ophthalmology Associates PSC
- Tri-State Oral & Facial Surgery
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.