TRI STATE NEUROLOGY, PLLC
NPI 1366849283
Psychiatry & Neurology - Neurology in Russell, KY

Active since November 20, 2014
1450 DIEDERICH BLVD, RUSSELL, KY 41169(606) 836-5565(606) 836-5567 Get Directions Write a Review

NPPES record last updated: November 21, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tri State Neurology, Pllc NPPES

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

TRI STATE NEUROLOGY, PLLC (NPI 1366849283) is a healthcare organization registered as a neurology in Russell, Kentucky and active in the NPI registry since November 2014. The organization lists Steven Douglas Deitch, Owner, as its authorized official.

NPPES Registry Identity

NPI1366849283
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameTRI STATE NEUROLOGY, PLLC
Location Address1450 DIEDERICH BLVDRussell, KY 41169-1719
Mailing Address1450 Diederich BlvdRussell, KY 41169-1719 · (606) 836-5565 · Fax (606) 836-5567
Fax(606) 836-5567
Organization SubpartNo
Authorized OfficialSteven Douglas DeitchOwner · (606) 836-5565
Enumeration DateNovember 20, 2014
Last NPPES UpdateNovember 21, 2014
NPI 1366849283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in KY · 26535
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
1450 DIEDERICH BLVD, Russell, KY 41169

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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Neurological Surgery
1450 DIEDERICH BLVD
RUSSELL, KY 41169

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tri State Neurology, PLLC's NPI number?

The NPI number for Tri State Neurology, PLLC is 1366849283. It was assigned to this organization in the NPPES registry on November 20, 2014.

Where is Tri State Neurology, PLLC located?

Tri State Neurology, PLLC is located at 1450 Diederich Blvd, Russell, KY 41169. The listed phone number is (606) 836-5565.

What is Tri State Neurology, PLLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

When was this NPI record last updated?

The NPPES record for Tri State Neurology, PLLC was last updated on November 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.