Organization Active NPI

Allergy and Asthma Center of Appalachia, PLLC

  • Allergy & Immunology Physician
  • Pikeville, KY
National Provider Identifier
1053407197
Registry record updated Jan 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
37578 Issued in KY
Legal business name
ALLERGY AND ASTHMA CENTER OF APPALACHIA, PLLC
Practice address
5425 N Mayo TRL
Suite 101
Pikeville, KY 41501-2966
Phone
(606) 433-0591
Fax
(606) 433-0594
NPI assigned
Oct 5, 2006
Last updated
Jan 18, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Charles E Lowe III, M.D.NPI 1104854207
Title
Physician
Phone
(606) 433-0591

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 37578 KY Primary

Addresses

Primary practice location

5425 N Mayo TRL
Suite 101
Pikeville, KY 41501-2966

Mailing address

5425 N Mayo TRL
Suite 101
Pikeville, KY 41501-2966
Phone (606) 433-0591

Other identifiers 4

IdentifierTypeStateIssuer
000000483090OtherKYBLUE CROSS BLUE SHIELD
64063340MedicaidKY
11175801OtherKYCAQH
20441212OtherKYTRICARE/CHAMPUS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061108000582 KY Part B Supplier - Clinic/Group Practice 6800893645 Receives reassigned benefits from 1 practitioner
Practice locations: Pikeville, KY

National Provider Directory

National Provider Directory

Locations

161 Hibbard St
Ste 202
Pikeville, KY 41501
Phone (606) 433-0591

5425 N Mayo Trl
Ste 101
Pikeville, KY 41501
Phone (606) 433-0591

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326844800000",
    "number": "1053407197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5425 N MAYO TRL",
            "address_2": "SUITE 101",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415012966",
            "telephone_number": "606-433-0591",
            "fax_number": "606-433-0594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5425 N MAYO TRL",
            "address_2": "SUITE 101",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415012966",
            "telephone_number": "606-433-0591",
            "fax_number": "606-433-0594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY AND ASTHMA CENTER OF APPALACHIA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2012-01-18",
        "status": "A",
        "authorized_official_last_name": "LOWE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "606-433-0591",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "KY",
            "license": "37578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000000483090",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64063340",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11175801",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE/CHAMPUS",
            "identifier": "20441212",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pikeville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.