MEDICARE: TRI-STATE PODIATRIC MEDICAL SERVICES PSC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CK6362	OTHER	KY	RAILROAD MEDICARE

General Provider Information

NPI Number	:	1750407474
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRI-STATE PODIATRIC MEDICAL SERVICES PSC

Provider Business Mailing Address
First Line	:	PO BOX 1593
Second Line	:
City	:	HENDERSON
State	:	KY
Zip	:	42419-1593
Country	:	US
Telephone Number	:	270-830-6522
Fax Number	:

Provider Business Practice Location Address
First Line	:	411 LETCHER ST
Second Line	:
City	:	HENDERSON
State	:	KY
Zip	:	42420-4245
Country	:	US
Telephone Number	:	270-830-6522
Fax Number	:

Authorized Official
Title or Position	:	PODIATRIST OWNER
Name	:	EDWARD G ANDERSON
Credential	:	D.P.M.
Telephone Number	:	270-830-5522

Provider Enumeration Date	:	03/22/2007
Last Update Date	:	10/25/2016

Similar Medicare Providers

1366445462 — EDWARD ANDERSON DPM
Practice Location Address:

411 LETCHER ST
HENDERSON, KY
42420-4245

Practice Phone: 270-830-6522
Practice Fax:

1346494671 — METHODIST HEALTH, INC.
Practice Location Address:

411 LETCHER ST
HENDERSON, KY
42420-4245

Practice Phone: 270-831-7950
Practice Fax: 270-831-7824

1699335968 — MR. LOGAN SCOTT VANSICKLE APRN
Practice Location Address:

411 LETCHER ST
HENDERSON, KY
42420-4245

Practice Phone: 270-831-7950
Practice Fax:

1346869252 — DEACONESS CLINIC, INC
Practice Location Address:

411 LETCHER ST
HENDERSON, KY
42420-4245

Practice Phone: 270-831-7950
Practice Fax: 270-831-7824

1205816014 — ALBEN B. SHOCKLEY M.D.
Practice Location Address:

151 N GARDENMILE RD
HENDERSON, KY
42420-5543

Practice Phone: 812-485-6030
Practice Fax: 812-485-6032

1831053206 — DR. KATELYN BEAN
Practice Location Address:

2500 N ELM ST
HENDERSON, KY
42420-2005

Practice Phone: 270-826-9794
Practice Fax:

Directions to “TRI-STATE PODIATRIC MEDICAL SERVICES PSC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.