The Tri-State Difference
How Can We Help You?
YOUR TRUSTED RESOURCE FOR GI AND LIVER CARE IN THE GREATER CINCINNATI and NORTHERN KY COMMUNITY SINCE 1982
Tri-State Gastroenterology Associates is a physician owned and independent practice founded in 1982. Our team of doctors, nurses and medical assistants live in this community and care for this community. We serve patients living in the Tri-State Area and are in network with most insurance plans.
It is our mission “To provide compassionate, high quality, cost-effective care to patients with gastrointestinal related problems.”
Role of the Gut Microbiome in Weight Management
Weight management is essential for overall health and well-being. It helps prevent chronic diseases, improves mental health, and enhances one's quality of life. However, the journey to achieving and maintaining a healthy weight can be challenging. One hidden key to...
How Stress Affects the Gut Microbiome
Stress is a natural physiological response to advertise and an important aspect of the body's protection mechanism. Stress can be useful in tiny doses, helping to boost attention, alertness, and performance. Chronic stress, on the other hand, can have a toxic...
How to Heal Your Gut After Antibiotics
Antibiotics have saved billions of lives since their invention. Therefore, we should be extremely grateful for them. Nevertheless, like all drugs, they inevitably have some side effects. Mainly, while they kill the bad bacteria that infect your body, they also kill...
News and Updates

Despite COVID 19 we are still here to serve our patients. We currently are following local, state, and CDC guidelines to keep you and our staff safe. Our COVID policies are continually evolving and we ask for your patience and understanding as we navigate these difficult times together. Our office does offer telemedicine appointments for new and existing patients if desired or needed.

2015, 2016, 2017, 2018, 2019, 2021, 2022
Daniel Fagel, MD
Michael Jones, MD
Chadwick Hatfield, MD
Scott Leverage, MD
Karlina Patton, MD
Joel Warren, MD
Award Winning Patient Satisfaction
Tri-State Gastroenterology Associates was recognized as a 2020 National APEX Quality Award Winner in Patient Satisfaction. The APEX Quality Award distinguishes TSDDC as one of our highest performing healthcare with an overall patient satisfaction of 97.6%.
Awarded a three-year certification for the Accreditation Association for Ambulatory Health Care (AAAHC) and ASGE Endoscopy Unit Recognition Program.
Now Hiring

Tri State Gastroenterology Associates
Business Hours
Monday | 8 AM - 5 PM |
Tuesday | 8 AM - 5 PM |
Wednesday | 8 AM - 5 PM |
Thursday | 8 AM - 5 PM |
Friday | 8 AM - 4 PM |
Saturday | Closed |
Sunday | Closed |