DERMATOPATHOLOGY ALLIANCE OF KENTUCKY PLLC (NPI# 1548273733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548273733 |
| Entity Type | Organization |
| Organization Name | DERMATOPATHOLOGY ALLIANCE OF KENTUCKY PLLC |
| Practice Address |
839 S 2nd St Louisville KY 40203-2209 |
| Mailing Address |
1169 Eastern Pkwy Suite G 71 Louisville KY 40217-1417 |
| Practice Telephone | 5024566217 |
| Practice Fax Number | 5024564440 |
| Mailing Telephone | 5024566217 |
| Mailing Fax Number | 5024564440 |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2016-12-16 |
| Authorized Official Name | DR. PAUL K FEARNEYHOUGH (PATHOLOGIST) |
| Authorized Official Telephone | 5025835834 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | KY | Allopathic & Osteopathic Physicians | |
| N | 1223P0106X |
Dentist Specialization: Oral and Maxillofacial Pathology |
KY | Dental Providers | |
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
Allopathic & Osteopathic Physicians | ||
| Y | 207ZD0900X |
Pathology Specialization: Dermatopathology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100173900 | 05 | |
| KY | CARESOURCE | 30004761050 | 01 |
| OH | 2676260 | 05 | |
| HEALTH PARTNERS | 93434 | 01 | |
| VA | 000100269 | 05 | |
| WV | 6701094-000 | 05 | |
| RAILROAD MEDICARE | 690009345 | 01 | |
| NH | 3103049 | 05 | |
| KY | US DEPT LABOR BLACK LUNG | 611948801 | 01 |
| PREFERRED CARE | 151583XX | 01 | |
| KY | PASSPORT | 50115665 | 01 |
| MD | BC/BS MD | BP87-0001 | 01 |
| KY | US DEPT LABOR DEEOIC | 611948800 | 01 |
| KY | ANTHEM BLUE CROSS BS | 000000247638 | 01 |
| VA | ANTHEM BCBS MC SUPP | 277243 | 01 |
| TN | 4409994 | 05 | |
| KY | ANTHEM MA | 01895510 | 01 |
| IN | 200364970A | 05 | |
| KY | AETNA BETTER HEALTH | 78469 | 01 |
| KY | AETNA | 5115678 | 01 |
| Street Address |
839 S 2ND ST |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40203-2209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346796109 | Dennis P Koper | General Practice | 839 S 2nd St, Louisville, KY 40203-2209 | 2016-08-31 |
| 1396858544 | Paul K Fearneyhough | Pathology | 839 S 2nd St, Louisville, KY 40203-2209 | 2006-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295211738 | Integrated Health Systems LLC | Psychiatry & Neurology | 645 S Roy Wilkins Ave Ste 300, Louisville, KY 40203 | 2018-07-18 |
| 1104317734 | Usimc of West Virginia Medical Corporation | Clinic/Center | 908 W Broadway Fl 8, Louisville, KY 40203 | 2018-05-18 |
| 1699296293 | Jennifer Christine Angermeier | Nurse Practitioner | 1130 W Chestnut St, Louisville, KY 40203 | 2017-07-05 |
| 1083162812 | Deloris Jean Johnson | Social Worker | 1022 South 6th Street, Louisville, KY 40203 | 2016-09-21 |
| 1770978512 | Michael Bricken | Pediatrics | 760 S Hancock St # B100, Louisville, KY 40203 | 2015-03-30 |
| 1770906885 | Jason Scott Underhill | Counselor | 214 E Breckinridge St, Louisville, KY 40203 | 2014-01-24 |
| 1316372592 | Tonya Alicia Clay | Marriage & Family Therapist | 1000 South 5th Street, Family & Children's Place, Louisville, KY 40203 | 2013-09-06 |
| 1780929216 | Harambee Health Center, Inc | Clinic/Center | 800 South Preston St., Louisville, KY 40203 | 2012-12-10 |
| 1083977276 | Synergy Rehabilitation, Inc. | Physical Therapist | 832 S. 6th Street, Suite C, Louisville, KY 40203 | 2012-06-21 |
| 1043572803 | Sonya Helen Mitchell | Counselor | 2225 W. Broadway, Louisville, KY 40203 | 2012-06-07 |
| Find all providers in zip 40203 | ||||
| Taxonomy Code | 207ZD0900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Dermatopathology |
| A dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source added] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. A subspecialty certificate was first issued by the ABMS in 1974. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245401645 | University Dermatopathology Consultants Psc | Pathology | 310 E Broadway, Suite 3a, Louisville, KY 40202-1745 | 2008-03-13 |
| 1235245754 | Dr William M Parsley Md Psc | Pathology | 310 E Broadway, Suite 200, Louisville, KY 40202-1745 | 2006-08-21 |
| 1396858544 | Paul K Fearneyhough | Pathology | 839 S 2nd St, Louisville, KY 40203-2209 | 2006-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750374955 | Daniel B Crump | Pathology | 800 Rose St # Ms 119, Lexington, KY 40536-2701 | 2005-08-24 |
| City | LOUISVILLE |
| Zip Code | 40203 |
Please comment or provide details below to improve the information on DERMATOPATHOLOGY ALLIANCE OF KENTUCKY PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.