TRI-STATE VASCULAR GROUP, PSC
NPI 1649217910
Specialist in Ashland, KY

Active since June 02, 2006
2301 LEXINGTON AVE, SUITE 230, ASHLAND, KY 41101(606) 326-1675(606) 326-1436 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tri-state Vascular Group, Psc NPPES

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

TRI-STATE VASCULAR GROUP, PSC (NPI 1649217910) is a healthcare organization registered as a specialist in Ashland, Kentucky and active in the NPI registry since June 2006. The organization lists Omran Riad Abul-khoudoud, President/vascular Surgeon, as its authorized official.

NPPES Registry Identity

NPI1649217910
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameTRI-STATE VASCULAR GROUP, PSC
Location Address2301 LEXINGTON AVE, SUITE 230Ashland, KY 41101-2873
Mailing AddressPo Box 149Ashland, KY 41105-0149 · (606) 326-1675 · Fax (606) 326-1436
Fax(606) 326-1436
Organization SubpartNo
Authorized OfficialOmran Riad Abul-khoudoudPresident/vascular Surgeon · (606) 326-1675
Enumeration DateJune 2, 2006
Last NPPES UpdateApril 20, 2008
NPI 1649217910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in KY · 40007
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2301 LEXINGTON AVE, Ashland, KY 41101

Other Identifiers 7

Medicaid2645436OH
Other=========026OH · Caresource Ohio
Medicare PIN00042KY
Other000000484792KY · Blue Cross Blue Shield
Medicaid65945495KY
Other7499265KY · Aetna
OtherDF0183KY · Medicare Rr

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 20

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

Obstetrics & Gynecology
2301 LEXINGTON AVE, SUITE 225
ASHLAND, KY 41101
Family Medicine (Adult Medicine)
2301 LEXINGTON AVE, SUITE 205
ASHLAND, KY 41101
Family Medicine (Adult Medicine)
2301 LEXINGTON AVE, SUITE 205
ASHLAND, KY 41101
Specialist
2301 LEXINGTON AVE, SUITE 100
ASHLAND, KY 41101
Internal Medicine
2301 LEXINGTON AVE, STE 320
ASHLAND, KY 41101
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2301 LEXINGTON AVE, STE 220
ASHLAND, KY 41101
Internal Medicine (Infectious Disease)
2301 LEXINGTON AVE, SUITE 100
ASHLAND, KY 41101
Specialist
2301 LEXINGTON AVE, SUITE 100
ASHLAND, KY 41101

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 Vascular Group, Psc's NPI number?

The NPI number for Tri-State Vascular Group, Psc is 1649217910. It was assigned to this organization in the NPPES registry on June 2, 2006.

Where is Tri-State Vascular Group, Psc located?

Tri-State Vascular Group, Psc is located at 2301 Lexington Ave Suite 230, Ashland, KY 41101. The listed phone number is (606) 326-1675.

What is Tri-State Vascular Group, Psc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Tri-State Vascular Group, Psc was last updated on April 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.