TRI-STATE ALLERGY, INC – NPI #1902906019
Allergy & Immunology

A physician who specializes in the diagnosis, treatment, and management of allergies.

TRI-STATE ALLERGY, INC is an allergy & immunologist located in HUNTINGTON, WV. NPPES has assigned the NPI number 1902906019 to TRI-STATE ALLERGY, INC on September 25, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207KA0200X from the Health Care Provider Taxonomy code set, which is classified as Allergy & Immunology, specializing in Allergy

The NPI profile was previously updated about 12 years ago on Sep 05, 2014. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TRI-STATE ALLERGY, INC below.

NPI Profile for
TRI-STATE ALLERGY, INC

NPI Number
1902906019
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
TRI-STATE ALLERGY, INC
Primary location
1001 20TH STREET
HUNTINGTON, WV 25703
Phone: (304) 529-6100 Fax: (304) 529-0229
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MATTHEW WILSON
PRESIDENT OWNER
Phone: (304) 529-6100
Updated
Identifiers

Identifiers for TRI-STATE ALLERGY, INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
MEDICAIDKY64698772
MEDICAIDKY659300083
MEDICAIDKY64694763
MEDICAIDOHL0489556
MEDICAIDOHL0874442
MEDICAIDOHL0968403
MEDICAIDWV0011693000
MEDICAIDWV0070510000
MEDICAIDWV0044083000
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207KA0200X
- Allergy & Immunology / Allergy (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.