LOUISVILLE ALLERGY & ASTHMA, PSC


Address: 4402 Churchman Ave, Suite 401, Louisville, KY 40215-1190
Phone: 5023638624

LOUISVILLE ALLERGY & ASTHMA, PSC (NPI# 1740340447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740340447
Entity Type Organization
Organization Name LOUISVILLE ALLERGY & ASTHMA, PSC
Practice Address 4402 Churchman Ave
Suite 401
Louisville
KY 40215-1190
Practice Telephone 5023638624
Practice Fax Number 5023637059
Mailing Telephone 5023638624
Mailing Fax Number 5023637059
Enumeration Date 2006-12-11
Last Update Date 2014-07-23
Authorized Official Name DAVID PALLARES (PRESIDENT)
Authorized Official Telephone 5023638624
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207K00000X Allergy & Immunology 27337 KY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
KY 7100291360 05
KY PASSPORT 1068611 01

Office Location

Street Address 4402 CHURCHMAN AVE
SUITE 401
City LOUISVILLE
State KY
Zip Code 40215-1190

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164424321 Joel Philip Garmon Surgery 4402 Churchman Ave, Ste 202, Louisville, KY 40215-3101 2005-06-01
1629523048 Cynthia Byers Nurse Practitioner 4402 Churchman Ave, Suite 410, Louisville, KY 40215-1190 2016-08-16
1780047456 Distler, Huntington & Blair Psc Optometrist 4402 Churchman Ave, Ste 306, Louisville, KY 40215-3101 2016-03-31
1790143295 Julia L Staib Nurse Practitioner 4402 Churchman Ave, Suite 300, Louisville, KY 40215-1190 2016-01-29
1306218805 Charna E Gaither Nurse Practitioner 4402 Churchman Ave, Suite 404, Louisville, KY 40215-1190 2015-10-22
1255703922 Michelle Sims Nurse Practitioner 4402 Churchman Ave, Suite 302, Louisville, KY 40215-1190 2015-10-21
1609246156 Elizabeth Mann Gasser Physician Assistant 4402 Churchman Ave, Suite 300, Louisville, KY 40215-1190 2015-09-28
1972907327 Ashley Tant Nurse Practitioner 4402 Churchman Ave, Ste 409, Louisville, KY 40215-1190 2014-10-14
1417366279 Louisville & So Indiana Pulmonary Care Nurse Practitioner 4402 Churchman Ave, Ste 409, Louisville, KY 40215-1190 2014-08-06
1447669478 Ashley C Tant Nurse Practitioner 4402 Churchman Ave, Ste 409, Louisville, KY 40215-1190 2014-08-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417473315 Robin Jones Behavioral Analyst 800 W. Woodlawn Ave, Louisville, KY 40215 2017-08-22
1316332448 Christopher Fenzel Emergency Medicine 1850 Bluegrass Avenue, Louisville, KY 40215 2015-04-06
1447661210 Khac Phuong Vu Dentist 3448 Taylor Boulevard, Louisville, KY 40215 2014-05-15
1619251238 Scott H Kaminsky Marriage & Family Therapist 3535 Taylor Blvd, Louisville, KY 40215 2011-09-30
1821313529 Taylor Blvd Chiropractic Chiropractor 3254 Taylor Blvd, Louisville, KY 40215 2010-04-06
1396985131 Jewish Hospital & St. Mary's Healthcare, Inc. Psychiatric Residential Treatment Facility 4419 Lasalle Ave, Louisville, KY 40215 2009-03-05
1841448735 Jewish Hospital & St. Mary's Healthcare, Inc. Psychiatric Residential Treatment Facility 4418 Malcolm Ave., Louisville, KY 40215 2008-09-04
1235329400 Thad R. Schulten Psc Dentist 4515 Churchman Ave., Louisville, KY 40215 2007-07-25
1801911680 Timothy John Lutes Dentist 3205 Taylor Blvd, Louisville, KY 40215 2007-03-20
1063557346 Louisville-jefferson County Metro Government Public Health or Welfare 4255 Hazelwood Avenue, Louisville, KY 40215 2007-02-21
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Taxonomy Information

Taxonomy Code 207K00000X
Grouping Allopathic & Osteopathic Physicians
Classification Allergy & Immunology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City LOUISVILLE
Zip Code 40215

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Dataset Information

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.

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