BLUEGRASS ALLERGY ASTHMA AND IMMUNOLOGY PSC (NPI# 1669984209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669984209 |
| Entity Type | Organization |
| Organization Name | BLUEGRASS ALLERGY ASTHMA AND IMMUNOLOGY PSC |
| Practice Address |
11900 Plantside Dr Ste 9 Louisville KY 40299 |
| Mailing Address |
Po Box 206578 Louisville KY 40250-6578 |
| Practice Telephone | 5022670556 |
| Practice Fax Number | 5022671715 |
| Mailing Telephone | 8122188926 |
| Mailing Fax Number | 8122188930 |
| Enumeration Date | 2017-11-03 |
| Last Update Date | 2018-07-10 |
| Authorized Official Name | DR. FRANK TOLIS SIMON (MD/OWNER) |
| Authorized Official Telephone | 5023864710 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RA0201X |
Internal Medicine Specialization: Allergy & Immunology |
34409 | KY | Allopathic & Osteopathic Physicians |
| Street Address |
11900 PLANTSIDE DR STE 9 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40299 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477050144 | Jolanta Staniszewska | Social Worker | 1700 Cargo St, Louisville, KY 40299 | 2018-04-10 |
| 1780192302 | Chris Mcclain | Pharmacist | 1901 Campus Place, Suite 100, Louisville, KY 40299 | 2018-01-17 |
| 1588182109 | Hollie Marie Wheeler | Speech-Language Pathologist | Paragon Rehabilitation 2701 Chesnut Station Court, Louisville, KY 40299 | 2017-09-04 |
| 1790206464 | Farrah Hill Rodgers | Occupational Therapy Assistant | 2701 Chestnut Station Court., Paragon Rehabilitation, Louisville, KY 40299 | 2017-07-03 |
| 1871972620 | Jag Medical LLC | Pharmacy | 9813 Merioneth Dr, Louisville, KY 40299 | 2015-05-27 |
| 1023496205 | Scotty Ray Newcomer | Family Medicine | 8511 Watterson Trl, Louisville, KY 40299 | 2015-05-08 |
| 1386048262 | Daniel Gerhard Eschenbach | Dentist | 12613 Taylorsville Rd., Suite #17, Louisville, KY 40299 | 2014-10-21 |
| 1740616192 | Alyse C Martin | Nurse Practitioner | 9569 Taylorsville Road Suite 109, Louisville, KY 40299 | 2013-09-17 |
| 1407104128 | Tammy Rowland Reddington | Nurse Practitioner | 4004 Hurstbroune Woods Drive, Louisville, KY 40299 | 2012-08-28 |
| 1285992263 | William Lee Cushing | Pharmacist | 4500 S. Hurstbourne Pkwy, Louisville, KY 40299 | 2012-04-27 |
| Find all providers in zip 40299 | ||||
| Taxonomy Code | 207RA0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Allergy & Immunology |
| An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962691923 | Bluegrass Allergy and Asthma | Internal Medicine | 11900 Plantside Dr, Ste 9, Louisville, KY 40299-6367 | 2007-10-16 |
| 1730216201 | Frank G Simon, Psc | Internal Medicine | 1404 Browns Ln Ste B, Louisville, KY 40207-4655 | 2007-02-28 |
| 1336147065 | Frank Gotham Simon | Internal Medicine | 1404 Browns Ln, Suite B, Louisville, KY 40207-4655 | 2005-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205844511 | Leslie Bernard Branch | Internal Medicine | 2387 Professional Heights Dr, Suite 60, Lexington, KY 40503-3004 | 2006-08-03 |
| 1184701336 | Farhad Karim | Internal Medicine | 2387 Professional Heights Drive, Suite #60, Lexington, KY 40503-3004 | 2006-11-01 |
| 1295832913 | Frank H Taylor | Internal Medicine | 200 Clinic Dr, Madisonville, KY 42431-1661 | 2006-09-17 |
| City | LOUISVILLE |
| Zip Code | 40299 |
Please comment or provide details below to improve the information on BLUEGRASS ALLERGY ASTHMA AND IMMUNOLOGY PSC.
| 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.