DR. DOUGLAS BAZIL TZANETOS (NPI# 1730274929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730274929 |
| Entity Type | Individual |
| Full Name | DR. DOUGLAS BAZIL TZANETOS |
| Credential | M.D. |
| Practice Address |
9113 Leesgate Rd Louisville KY 40222-5003 |
| Mailing Address |
9800 Shelbyville Rd Ste 220 Louisville KY 40223-2992 |
| Practice Telephone | 5024261621 |
| Practice Fax Number | 5024267906 |
| Mailing Telephone | 5024298585 |
| Mailing Fax Number | 5024296157 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2018-12-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | 39285 | KY | Allopathic & Osteopathic Physicians |
| Street Address |
9113 LEESGATE RD |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40222-5003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619960481 | Arthur H Althaus | Specialist | 9113 Leesgate Rd, Louisville, KY 40222-5003 | 2005-08-26 |
| 1649547415 | Laura Elizabeth Wilhem Manley | Nurse Practitioner | 9113 Leesgate Rd, Louisville, KY 40222-5003 | 2011-11-22 |
| 1700014917 | Michael Sanford Nall | Specialist | 9113 Leesgate Rd, Louisville, KY 40222-5003 | 2009-06-25 |
| 1598832396 | Tiffany Simpson Desimone | Allergy & Immunology | 9113 Leesgate Rd, Louisville, KY 40222-5003 | 2006-11-29 |
| 1790891125 | Kentuckiana Allergy Psc | Nurse Practitioner | 9113 Leesgate Rd, Louisville, KY 40222-5003 | 2006-08-21 |
| 1316933781 | Jeremy Dwayne Jones | Allergy & Immunology | 9113 Leesgate Rd, Louisville, KY 40222-5003 | 2005-09-21 |
| 1629063763 | Lori A Fields | Nurse Practitioner | 9113 Leesgate Rd, Louisville, KY 40222-5003 | 2005-09-14 |
| 1194718858 | Daniel P Garcia | Allergy & Immunology | 9113 Leesgate Rd, Louisville, KY 40222-5003 | 2005-08-29 |
| 1245223981 | John G Riehm | Allergy & Immunology | 9113 Leesgate Rd, Louisville, KY 40222-5003 | 2005-08-29 |
| 1912990573 | Stuart W White | Allergy & Immunology | 9113 Leesgate Rd, Louisville, KY 40222-5003 | 2005-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881507 | Lucas Counseling and Consulting | Counselor | 8134 New Lagrange Road Suite 100, Louisville, KY 40222 | 2020-11-06 |
| 1700424157 | Hope4hearts Counseling LLC | Community/Behavioral Health | 7321 New Lagrange Road, Louisville, KY 40222 | 2019-12-17 |
| 1982162509 | Sydney Sleadd | Massage Therapist | 7505 New Lagrange Rd, Ste 101, Louisville, KY 40222 | 2019-03-04 |
| 1205390127 | Rebecca A Street | Marriage & Family Therapist | 8134 New La Grange Rd Ste 227, Louisville, KY 40222 | 2019-01-24 |
| 1689176166 | Andrew Pennington | Social Worker | 1015 Dorsey Ln., Louisville, KY 40222 | 2018-03-01 |
| 1578085957 | Megan Lusco | Case Manager/Care Coordinator | 312 Whittington Parkway, Suite 020, Louisville, KY 40222 | 2017-07-07 |
| 1083149868 | Kate Oliver Ray | Optometrist | 2420 Lime Kiln Ln Ste H, Louisville, KY 40222 | 2017-04-28 |
| 1578094736 | Jacqueline Ward | Speech-Language Pathologist | 910 Fenley Avenue, Louisville, KY 40222 | 2017-03-21 |
| 1295195907 | Carol Massey | Psychologist | 7400 Newlagrange Roed, 308, Louisville, KY 40222 | 2016-02-24 |
| 1588047260 | Melissa Cosby | Case Manager/Care Coordinator | 312 Whittington Parkway Suite 020, Louisville, KY 40222 | 2015-06-30 |
| Find all providers in zip 40222 | ||||
| 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 |
|---|---|---|---|---|
| 1992846604 | Arthur Franklin White II | Allergy & Immunology | 5106 Dunvegan Rd, Louisville, KY 40222-6023 | 2007-02-08 |
| 1730193582 | Accredited Asthma & Allergy Care Psc | Allergy & Immunology | 1009b Dupont Sq N, Louisville, KY 40207-4612 | 2006-07-28 |
| 1639183254 | Charles Steven Smith | Allergy & Immunology | 1009b Dupont Square North, Louisville, KY 40207-4612 | 2006-07-28 |
| 1023082484 | David E Pallares | Allergy & Immunology | 9800 Shelbyville Rd Ste 220, Louisville, KY 40223-5440 | 2006-02-14 |
| 1003809724 | Derek A Damin | Allergy & Immunology | 163 South English Station Road, Louisville, KY 40245-3996 | 2005-08-29 |
| 1598767485 | Forrest Saunders Kuhn Jr. | Allergy & Immunology | 3900 S. Dupont Square Ste A, Louisville, KY 40207 | 2005-08-11 |
| 1629077698 | Stephen J. Pollard | Allergy & Immunology | 9800 Shelbyville Rd, Suite #220, Louisville, KY 40223-2992 | 2005-07-20 |
| 1720084700 | Dwight Edward Lindsay | Allergy & Immunology | 1261 Goss Ave, Louisville, KY 40217-1239 | 2005-06-23 |
| 1790107373 | Flatiron Allergy & Asthma Center | Allergy & Immunology | 90 Health Park Dr, 170, Louisville, CO 80027-9757 | 2014-01-15 |
| 1740602713 | University of Louisville Research Foundation | Allergy & Immunology | 210 E Gray St, Suite 802, Louisville, KY 40202-3900 | 2014-01-10 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40222 |
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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.