Aesthetic Specialists PLLC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

26549 Issued in KY

Legal business name

AESTHETIC SPECIALISTS PLLC

Doing business as

East Louisville ENT Surgery

Practice address

10262 Shelbyville Rd
Louisville, KY 40223-2955

Phone

(502) 244-7290

Fax

(502) 244-7293

NPI assigned

Jun 13, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Robert D Knox, M.D.

Title

President

Phone

(502) 387-7818

Specialties & licenses 1

Addresses

Other names 1

• East Louisville ENT Surgery Doing business as

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184544000000",
    "number": "1194929018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10262 SHELBYVILLE RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402232955",
            "telephone_number": "502-244-7290",
            "fax_number": "502-244-7293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10262 SHELBYVILLE RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402232955",
            "telephone_number": "502-244-7290",
            "fax_number": "502-244-7293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AESTHETIC SPECIALISTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2007-07-16",
        "status": "A",
        "authorized_official_last_name": "KNOX",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-387-7818",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "KY",
            "license": "26549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Louisville ENT Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Aetna Better Health of Kentucky Insurance Company (Aetna Better Health of Kentucky)
• Juan Carlos Buling Afable, CRNA
• Alexander Yurievich Afanasyev, MD
• Affinicorp LLC
• Affinity Rehabilitation, Inc.

• Otolaryngology Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Otolaryngology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.