Active NPI
Marion D Eyre, MD
- Otolaryngology Physician
- Louisville, KY
National Provider Identifier
1093763583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 35997
- Practice address
- 6420 Dutchmans Pkwy
Suite 380
Louisville, KY 40205-3372 - Phone
- (502) 894-9753
- Fax
- (502) 371-0929
- NPI assigned
- May 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 35997 | KY | Primary |
| Otolaryngology Physician | 207Y00000X | 01053627A | IN |
Addresses
Primary practice location
6420 Dutchmans Pkwy
Suite 380
Louisville, KY 40205-3372
Mailing address
6420 Dutchmans Pkwy
Suite 380
Louisville, KY 40205-3372
Phone (502) 894-9753
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1051585 | Other | KY | PASSPORT |
| 3718513000 | Other | KY | PASSPORT ADVANTAGE |
| 65902710 | Other | KY | MEDICAID GROUP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01053627A | IN | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kentuckiana Ear, Nose & Throat PSC | Otolaryngology | Past | Accepting new patients |
| ENT Care Centers PLLC | Otolaryngology | Past | Accepting new patients |
| Harold W. Blevins, M.D.,P.S.C. | Otolaryngology | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Otolaryngology Physician
- Louisville, KY
- NPI 1093381485
-
- Otolaryngology Physician
- Louisville, KY
- NPI 1659420800
-
- Otolaryngology Physician
- Louisville, KY
- NPI 1194771592
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260230400000",
"number": "1093763583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6420 DUTCHMANS PKWY",
"address_2": "SUITE 380",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402053372",
"telephone_number": "502-894-9753",
"fax_number": "502-371-0929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6420 DUTCHMANS PKWY",
"address_2": "SUITE 380",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402053372",
"telephone_number": "502-894-9753",
"fax_number": "502-371-0929"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EYRE",
"first_name": "MARION",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-05",
"last_updated": "2009-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "KY",
"license": "35997",
"primary": true
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "IN",
"license": "01053627A",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT",
"identifier": "1051585",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT ADVANTAGE",
"identifier": "3718513000",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID GROUP",
"identifier": "65902710",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.