| Tri-state Gastroenterology Associates, Psc | |
|
425 Centre View Blvd Crestview Hills KY 41017-3409 | |
| (859) 341-3575 | |
| (859) 341-5701 |
| Full Name | Tri-state Gastroenterology Associates, Psc |
|---|---|
| Speciality | Clinic/Center |
| Location | 425 Centre View Blvd, Crestview Hills, Kentucky |
| Authorized Official Name and Position | Daniel G Fagel (PRESIDENT) |
| Authorized Official Contact | 8593413575 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri-state Gastroenterology Associates, Psc 425 Centre View Blvd Crestview Hills KY 41017-3409 Ph: (859) 341-3575 | Tri-state Gastroenterology Associates, Psc 425 Centre View Blvd Crestview Hills KY 41017-3409 Ph: (859) 341-3575 |
| NPI Number | 1306843842 |
|---|---|
| Provider Enumeration Date | 06/30/2005 |
| Last Update Date | 10/07/2014 |
| Medicare PECOS PAC ID | 0840289914 |
|---|---|
| Medicare Enrollment ID | O20040512000676 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306843842 | NPI | - | NPPES |
| 200354220 | Medicaid | IN | |
| 000000032466 | Other | ANTHEM | |
| 6591623100 | Medicaid | KY | |
| 78901550 | Other | KY | KY MEDICAID NP GROUP |
| CM0475 | Other | MEDICARE RAILROAD | |
| 0835841 | Medicaid | OH | |
| 7100179230 | Other | KY | KY MEDICAID PA GROUP |
| Provider Name | Karlina M Patton |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1386641926 PECOS PAC ID: 0345230439 Enrollment ID: I20040512000881 |
| Provider Name | Chadwick W Hatfield |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1780714931 PECOS PAC ID: 9638239338 Enrollment ID: I20081126000234 |
| Provider Name | Scott C Leverage |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1700064995 PECOS PAC ID: 4082775788 Enrollment ID: I20081212000072 |
| Provider Name | Daniel G Fagel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518964147 PECOS PAC ID: 4880737337 Enrollment ID: I20100205000055 |
| Provider Name | Michael E Jones |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1083611636 PECOS PAC ID: 6305989856 Enrollment ID: I20100205000085 |
| Provider Name | Karen L Ruschman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881691467 PECOS PAC ID: 5092858555 Enrollment ID: I20100205000129 |
| Provider Name | Ross Mchenry |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720084353 PECOS PAC ID: 7810022811 Enrollment ID: I20100316000620 |
| Provider Name | Joel M Warren |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720250749 PECOS PAC ID: 8325203151 Enrollment ID: I20120629000176 |
| Provider Name | Allen Lam |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1225271026 PECOS PAC ID: 5092942318 Enrollment ID: I20131212000770 |
| Provider Name | Samir D Vermani |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1790074078 PECOS PAC ID: 0446561047 Enrollment ID: I20150624000384 |
| Provider Name | Stephen Eliason |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1700868767 PECOS PAC ID: 9739253923 Enrollment ID: I20151027001813 |
| Provider Name | Michael Earl Smith |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1700950094 PECOS PAC ID: 1557435740 Enrollment ID: I20151105001959 |
| Provider Name | John Willaim Biery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578933883 PECOS PAC ID: 5395045660 Enrollment ID: I20151118003082 |
| Provider Name | Carolyn R Day |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730571365 PECOS PAC ID: 9032490628 Enrollment ID: I20161219001466 |
| Provider Name | Briana Goodridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942796206 PECOS PAC ID: 5395095178 Enrollment ID: I20180829003046 |
| Provider Name | Felicia Marie Hartwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821597113 PECOS PAC ID: 4880959642 Enrollment ID: I20190129003748 |
| Provider Name | Carrie Lynn St Hilaire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881169357 PECOS PAC ID: 7517205867 Enrollment ID: I20190211003068 |
| Provider Name | Joshua A Caldwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124793021 PECOS PAC ID: 2961807904 Enrollment ID: I20210830000630 |
St. Elizabeth Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 340 Thomas More Pkwy, Su. 160a, Crestview Hills, KY 41017 Phone: 859-334-6466 Fax: 859-344-7930 | |
Northern Kentucky Health & Wellness, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 Thomas More Pkwy Ste B, Crestview Hills, KY 41017 Phone: 859-360-3245 Fax: 859-360-3548 | |
Cincinnati Healthcare Group Psc, Dba Patient First Physicians Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2765 Chapel Pl, Crestview Hills, KY 41017 Phone: 859-344-1900 | |
Cincinnati Healthcare Group Psc, Dba Patient First Physicians Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 351 Centre View Blvd, Crestview Hills, KY 41017 Phone: 859-578-3400 | |
St. Elizabeth Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2765 Chapel Pl, Su. 200, Crestview Hills, KY 41017 Phone: 859-578-3400 Fax: 859-957-0055 | |
Halpin-noll Laser Eye Center (greater Cincinnatti) Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 375 Thomas More Pkwy, Crestview Hills, KY 41017 Phone: 859-341-4525 |