TRI-STATE GASTROENTEROLOGY ASSOCIATES, PSC
NPI 1306843842
Clinic/Center in Crestview Hills, KY

Q: What is Tri-State Gastroenterology Associates, Psc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since June 30, 2005CLIA 18D0324174 · Certificate of Compliance

425 CENTRE VIEW BLVD, CRESTVIEW HILLS, KY 41017(859) 341-3575(859) 341-5701 Get Directions Write a Review

NPPES record last updated: October 7, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Tri-state Gastroenterology Associates, Psc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRI-STATE GASTROENTEROLOGY ASSOCIATES, PSC (NPI 1306843842) is a healthcare organization registered as a clinic/center in Crestview Hills, Kentucky and active in the NPI registry since June 2005. The organization holds a CLIA Certificate of Compliance certificate valid through November 15, 2026 and lists Daniel G Fagel, President, as its authorized official.

NPPES Registry Identity

NPI1306843842

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameTRI-STATE GASTROENTEROLOGY ASSOCIATES, PSC

Location Address425 CENTRE VIEW BLVDCrestview Hills, KY 41017-3409

Mailing Address425 Centre View BlvdCrestview Hills, KY 41017-3409 · (859) 341-3575 · Fax (859) 341-5701

Phone(859) 341-3575

Fax(859) 341-5701

Organization SubpartNo

Authorized OfficialDaniel G FagelPresident · (859) 341-3575

Enumeration DateJune 30, 2005

Last NPPES UpdateOctober 7, 2014

✔ NPI 1306843842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X

Also ListedPhysician AssistantTaxonomy 363A00000X

425 CENTRE VIEW BLVD, Crestview Hills, KY 41017

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Other Identifiers 8

Other7100179230KY · Ky Medicaid Pa Group

Medicaid200354220IN

OtherCM0475Medicare Railroad

Medicaid6591623100KY

Other000000032466Anthem

Other78901550KY · Ky Medicaid Np Group

Medicaid0835841OH

Medicare PIN3491KY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 18D0324174

Tri-State Gastroenterology · Crestview Hills, KY

Active · expires Nov 15, 2026

CLIA Number18D0324174

Laboratory TypeAncillary Testing Site In Health Care Center

Certificate Effective DateNovember 16, 2024

Certificate Expiration DateNovember 15, 2026

Laboratory DirectorDr. Stephen C. Eliason

Laboratory Phone(812) 584-3316

Laboratory LocationTri-State Gastroenterology425 Centre View Blvd, Crestview Hills, KY 41017

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JORDAN REDFIELD MD

Internal Medicine (Gastroenterology)