Organization Active NPI

Allergy & Asthma Associates, P. S. C

Doing business as Allergy & Asthma Associates of the Bluegrass

  • Specialist
  • Lexington, KY
National Provider Identifier
1174634455
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
174400000X Issued in KY
Legal business name
ALLERGY & ASTHMA ASSOCIATES, P. S. C
Doing business as
Allergy & Asthma Associates of the Bluegrass
Practice address
171 N Eagle Creek Dr Ste 106
Lexington, KY 40509-1801
Phone
(859) 277-9112
Fax
(859) 277-7105
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kenneth L Gerson, M. D.
Title
President
Phone
(859) 277-9112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 174400000X KY Primary

Addresses

Primary practice location

171 N Eagle Creek Dr Ste 106
Lexington, KY 40509-1801

Mailing address

171 N Eagle Creek Dr Ste 106
Lexington, KY 40509-1801
Phone (859) 277-9112

Other identifiers 3

IdentifierTypeStateIssuer
000000045611OtherKYANTHEM BCBS
000000045610OtherKYANTHEM BCBS
65920720MedicaidKY

Other names 1

  • Allergy & Asthma Associates of the Bluegrass Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050726000088 KY Part B Supplier - Clinic/Group Practice 6305873951 Receives reassigned benefits from 4 practitioners
Practice locations: Lexington, KY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D2099087Allergy & Asthma Associates of the Bluegrass171 N Eagle Creek Drive, Suite 102 & 106, Lexington, KY 40509Certificate of waiverJul 20, 2027

National Provider Directory

National Provider Directory

Locations

1156 Lexington Rd
Georgetown, KY 40324
Phone (502) 863-9703

171 N Eagle Creek Dr
Ste 106
Lexington, KY 40509
Phone (606) 277-9112

789 Eastern Byp
Ofc
Richmond, KY 40475
Phone (606) 277-9112

893 Eastern Byp BLDG 1 Ste 2B
Baptist Health Hospital
Richmond, KY 40475
Phone (859) 277-9112

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174634455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 N EAGLE CREEK DR STE 106",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091801",
            "telephone_number": "859-277-9112",
            "fax_number": "859-277-7105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 N EAGLE CREEK DR STE 106",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091801",
            "telephone_number": "859-277-9112",
            "fax_number": "859-277-7105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY & ASTHMA ASSOCIATES, P. S. C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GERSON",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "859-277-9112",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "KY",
            "license": "174400000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000045611",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000045610",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65920720",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allergy & Asthma Associates of the Bluegrass",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.