DR. TRACIE L OVERBECK (NPI# 1881658805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881658805 |
Entity Type | Individual |
Full Name | DR. TRACIE L OVERBECK |
Credential | MD, PHD |
Practice Address |
166 Pasadena Drive Suite 150 Lexington KY 40503-2938 |
Mailing Address |
Po Box 603725 Charlotte NC 28260-3725 |
Practice Telephone | 8592761452 |
Practice Fax Number | 8592771237 |
Mailing Telephone | 8285752625 |
Mailing Fax Number | 8283502174 |
Enumeration Date | 2006-04-14 |
Last Update Date | 2019-05-10 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207K00000X | Allergy & Immunology | 40012 | KY | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KY | MEDICARE PTAN | K092670 | 01 |
KY | 64086788 | 05 |
Street Address |
166 PASADENA DRIVE SUITE 150 |
City | LEXINGTON |
State | KY |
Zip Code | 40503-2938 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548804743 | Lucas Kyle Brothers | Occupational Therapist | 401 Lewis Hargett Cir #120, Lexington, KY 40503 | 2019-10-30 |
1598322364 | Bobbi Jo Macqueston | Developmental Therapist | 825 Apache Trail, Lexington, KY 40503 | 2019-05-28 |
1750846234 | Smart Dental & Hygiene Express | Dentist | 2600 Nicholasville Rd Suite 120, Lexington, KY 40503 | 2019-02-08 |
1780148353 | Southland Child, Adult, and Family Counseling | Counselor | 2039 Regency Rd., Ste 1, Lexington, KY 40503 | 2019-01-28 |
1073093357 | Amanda Zachem | Nurse Practitioner | 1780 Nicholasville Rd., Suite #203, Lexington, KY 40503 | 2018-08-16 |
1083101240 | Man O War Urgent Care LLC | Nurse Practitioner | 4097 Nichols Park Dr Ste 108, Lexington, KY 40503 | 2018-04-13 |
1255833737 | Bennett Gatto | Physical Therapist | 3882 Mall Road, Lexington, KY 40503 | 2018-03-01 |
1528566114 | Alteri, LLC | Counselor | 1517 Nicholasville Rd Ste 402, Lexington, KY 40503 | 2018-01-29 |
1245748235 | Sherry Kay Adkins | Registered Nurse | Baptist Health Lexington 1740 Nicholasville Road, Diabetes Education, Lexington, KY 40503 | 2018-01-12 |
1003334780 | Martin Bennett Hundley | Counselor | 274 Southland Dr # 204, Lexington, KY 40503 | 2017-09-01 |
Find all providers in zip 40503 |
Taxonomy Code | 207K00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Allergy & Immunology |
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689724155 | Rajiv Arora | Allergy & Immunology | 3292 Eagle View Lane, Suite #150, Lexington, KY 40509 | 2007-01-10 |
1922010792 | Priya J. Warrier | Allergy & Immunology | 3292 Eagle View Ln, Suite # 150, Lexington, KY 40509-2173 | 2006-08-12 |
1720095334 | William A Greisner | Allergy & Immunology | 171 North Eagle Creek Drive, Suite 106, Lexington, KY 40509 | 2006-08-03 |
1528021656 | John Secord Thompson | Allergy & Immunology | University of Kentucky, 800 Rose Street, C403, Lexington, KY 40536-0001 | 2006-04-10 |
1790786804 | Ira Lawrence Hemmings | Allergy & Immunology | 166 Pasadena Dr, Ste 150, Lexington, KY 40503-2973 | 2005-08-10 |
1811998925 | Arun Rajguru Kadambi | Allergy & Immunology | 1136 Monarch St., Lexington, KY 40515 | 2005-08-10 |
1487652533 | Amy B Mashburn | Allergy & Immunology | 166 Pasadena Dr Ste 150, Lexington, KY 40503 | 2005-07-12 |
1982947958 | Shuya Wu | Allergy & Immunology | 100 N Eagle Creek Dr, Lexington, KY 40509-1805 | 2013-03-28 |
1881899177 | Thoroughbred Allergy and Asthma Center,llc | Allergy & Immunology | 3292 Eagle View Ln, Ste 150, Lexington, KY 40509-1851 | 2007-06-18 |
1235332412 | Kentucky Medical Services Foundation | Allergy & Immunology | 740 S Limestone, Lexington, KY 40536-0001 | 2007-06-06 |
Find all providers in LEXINGTON |
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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.