Tri-State Gastroenterology Associates, Psc

LBN: Tri-State Gastroenterology Associates, Psc
Tri-State Gastroenterology Associates, Psc is an health care organization with primary practice located at 425 Centre View Blvd , Crestview Hills KY 41017-3409. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology, Ambulatory Health Care Facilities / Clinic/Center, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty. Tri-State Gastroenterology Associates, Psc can be contacted via phone (859) 341-3575, or through Fagel, Daniel G via phone (859) 341-3575.

Contact Information

Primary practice address
425 Centre View Blvd Crestview Hills KY 41017-3409
Phone: (859) 341-3575
Fax: (859) 341-5701
Website:
Map and Directions
Authorized official contact:
Name: Fagel, Daniel G Doctor of Medicine (MD)
Phone: (859) 341-3575

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1306843842
LBN Legal business name Tri-State Gastroenterology Associates, Psc
DBA Doing business as
Authorized official Fagel, Daniel G Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 30th, 2005
Last updated Oct 7th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1306843842 NPPES
Indiana MEDICAID 200354220
Indiana Other 000000032466
Indiana MEDICAID 6591623100
Indiana Other 78901550
Indiana Other CM0475
Indiana MEDICAID 0835841
Indiana Other 7100179230

Popular Providers