DR. KENNETH LORNE BALCOMBE (NPI# 1720084262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720084262 |
Entity Type | Individual |
Full Name | DR. KENNETH LORNE BALCOMBE |
Credential | M.D. |
Practice Address |
6420 Dutchmans Pkwy Suite 380 Louisville KY 40205-3372 |
Practice Telephone | 5028948441 |
Practice Fax Number | 5028944453 |
Mailing Telephone | 5028948441 |
Mailing Fax Number | 5028944453 |
Enumeration Date | 2005-06-21 |
Last Update Date | 2012-08-23 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Y00000X | Otolaryngology | 28985 | KY | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KY | ANTHEM - NICC | 000000674386 | 01 |
IN | MEDICARE RAILROAD- ICC | P00861077 | 01 |
KY | BCBS | 000000045106 | 01 |
IN | 200024650 | 05 | |
KY | TAX ID | 61-0719349 | 01 |
TAX ID | 610731823 | 01 | |
KY | 64289853 | 05 | |
KY | 7100199530 | 05 | |
KY | SIHO - NICC | 117555 | 01 |
KY | MEDICARE RAILROAD-ICC | P00861078 | 01 |
Street Address |
6420 DUTCHMANS PKWY SUITE 380 |
City | LOUISVILLE |
State | KY |
Zip Code | 40205-3372 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356897227 | The Cataract Vision Institute LLC | Clinic/Center | 6420 Dutchmans Pkwy, Suite 185, Louisville, KY 40205-3372 | 2016-08-30 |
1083066039 | Stacey Roberts | Nurse Practitioner | 6420 Dutchmans Pkwy, Suite 200, Louisville, KY 40205-3372 | 2016-07-01 |
1619344975 | Megan Nicole Cahill | Nurse Practitioner | 6420 Dutchmans Pkwy, Suite 200, Louisville, KY 40205-3372 | 2015-08-21 |
1275909343 | Alexandra Spata | Physical Therapist | 6420 Dutchmans Pkwy, Suite 160, Louisville, KY 40205-3372 | 2015-08-12 |
1538545009 | Kayla Fowler | Physical Therapist | 6420 Dutchmans Pkwy, Suite 160, Louisville, KY 40205-3372 | 2015-08-06 |
1134555402 | Cristal L Pollak | Nurse Practitioner | 6420 Dutchmans Pkwy, Suite 200, Louisville, KY 40205-3372 | 2013-09-18 |
1649605502 | Elizabeth R Krupiczewicz | Nurse Practitioner | 6420 Dutchmans Pkwy, Ste.200, Louisville, KY 40205 | 2013-09-11 |
1932443892 | Melanie Therese Twyman | Nurse Practitioner | 6420 Dutchmans Pkwy, Suite 200, Louisville, KY 40205-3372 | 2012-11-16 |
1639431968 | Melissa Dawn Wright | Nurse Practitioner | 6420 Dutchmans Pkwy, Ste.200, Louisville, KY 40205-3372 | 2012-06-12 |
1487912796 | The Lasik Vision Institute, LLC | Clinic/Center | 6420 Dutchmans Pkwy, Suite 185, Louisville, KY 40205-3372 | 2012-04-25 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558844027 | Arthur James Shulthise Jr. | Family Medicine | Bldg. 2801 - Bowman Field, 2801 Taylorsville Road, Louisville, KY 40205 | 2018-09-11 |
1609392133 | Leah Elizabeth Storch | Occupational Therapist | 2231 Wendell Ave, Louisville, KY 40205 | 2017-08-16 |
1437679842 | Michael Edward Lovelace | Family Medicine | 1800 Stevens Avenue, Louisville, KY 40205 | 2017-06-27 |
1699205328 | Nathaniel George Kennedy | Physician Assistant | 3101 Bardstown Road, Sullivan University Physician Assistant Program, Louisville, KY 40205 | 2017-06-14 |
1225584972 | Kalpana Bhaskar | Pharmacist | 3036 Bardstown Road, Louisville, KY 40205 | 2016-08-31 |
1013398627 | William Wood | Hearing Instrument Specialist | 2239 Bardstown Rd., Louisville, KY 40205 | 2015-06-10 |
1811306707 | Alaina Rotelli | Pharmacist | 2100 Gardiner Lane, Louisville, KY 40205 | 2014-08-05 |
1013325760 | Jaime Alexandra Seelmeyer | Counselor | 1718 Deerwood Ave, Apt 1, Louisville, KY 40205 | 2014-07-25 |
1992009336 | Priscilla Freeman | Case Manager/Care Coordinator | 3171 Taylorsville Rd, 1st Floor, Louisville, KY 40205 | 2010-12-28 |
1457501413 | Amanda Christine Voils-levenda | Psychologist | 1911 Bardstown Rd, Suite #bl, Louisville, KY 40205 | 2008-09-26 |
Find all providers in zip 40205 |
Taxonomy Code | 207Y00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720245657 | Sean Michael Maguire | Otolaryngology | 4600 Shelbyville Rd, Suite 220, Louisville, KY 40207-3326 | 2008-05-19 |
1548441850 | Dr. Harold Blevins | Otolaryngology | 5129 Dixie Hwy Ste 209, Louisville, KY 40216-1727 | 2007-11-15 |
1194929018 | Aesthetic Specialists Pllc | Otolaryngology | 10262 Shelbyville Rd, Louisville, KY 40223-2955 | 2007-06-13 |
1083731277 | Premier Ent and Allergy, Pllc | Otolaryngology | 2429 Bush Ridge Dr Ste 103, Louisville, KY 40245-5914 | 2007-03-23 |
1659420800 | Harold W. Blevins, M.d.,p.s.c. | Otolaryngology | 3999 Dutchmans Ln Ste 3a, Louisville, KY 40207-4747 | 2007-01-09 |
1912061599 | Jeffrey Brian Jorgensen | Otolaryngology | 401 E Chestnut St Unit 170, Louisville, KY 40202 | 2006-12-20 |
1821046426 | Harold W Blevins | Otolaryngology | 3999 Dutchmans Ln, Suite #3a, Suburban Plaza One, Louisville, KY 40207-4714 | 2006-05-05 |
1023006681 | Carl D Coppola | Otolaryngology | 2429 Bush Ridge Drive, Suite 103, Louisville, KY 40245-5914 | 2005-10-07 |
1730188285 | Jolene H Boswell | Otolaryngology | 4600 Shelbyville Rd Ste 220, Louisville, KY 40207-3398 | 2005-07-18 |
1467450049 | Andrew Simon Mickler | Otolaryngology | 3999 Dutchmans Ln, Suburban Medical Plaza I Ste 2g, Louisville, KY 40207-4729 | 2005-07-08 |
Find all providers in LOUISVILLE |
City | LOUISVILLE |
Zip Code | 40205 |
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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.