Fragge Allergy & Asthma Clinics PSC

Primary specialty

Allergy & Immunology (Internal Medicine) PhysicianTaxonomy code 207RA0201X

License

30879 Issued in KY

Legal business name

FRAGGE ALLERGY & ASTHMA CLINICS PSC

Practice address

2300 Chamber Center Dr
Suite 102
Lakeside Park, KY 41017-1673

Phone

(859) 371-3797

Fax

(859) 291-1438

NPI assigned

Mar 29, 2007

Last updated

Feb 26, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ronald Guy Fragge, MD

Title

President of Corporation

Phone

(859) 371-3797

Specialties & licenses 3

Addresses

Other identifiers 2

Locations

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.

• Christine G Chadwell, NP

  • Adult Health Nurse Practitioner
  • Cincinnati, OH
  • NPI 1285633602
  NPD (past)

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424908800000",
    "number": "1275653909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 CHAMBER CENTER DR",
            "address_2": "SUITE 102",
            "city": "LAKESIDE PARK",
            "state": "KY",
            "postal_code": "410171673",
            "telephone_number": "859-371-3797",
            "fax_number": "859-291-1438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 CHAMBER CENTER DR",
            "address_2": "SUITE 102",
            "city": "LAKESIDE PARK",
            "state": "KY",
            "postal_code": "410171673",
            "telephone_number": "859-371-3797",
            "fax_number": "859-291-1438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRAGGE ALLERGY & ASTHMA CLINICS PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2015-02-26",
        "status": "A",
        "authorized_official_last_name": "FRAGGE",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "GUY",
        "authorized_official_title_or_position": "PRESIDENT OF CORPORATION",
        "authorized_official_telephone_number": "859-371-3797",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "KY",
            "license": "12274",
            "primary": false
        },
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "KY",
            "license": "30879",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "KY",
            "license": "12274",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKMAN'S COMPENSATION",
            "identifier": "61071659400",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65903569",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joshua M Benge, M.D.
• Bryan Fallis (Progressive Podiatry)
• Concinnity Medical Devices, Inc (Ben Guard)
• Ellen Yass-Reed, M.a. PLLC
• Cassaundra Louise Ogden Fabry, LPC
• Christina Friedly, DO
• Jacqueline Leight Reichert Grimes
• Zachary John Grove, MD
• Karan Sue Hackman
• Jessica Ryan Hall, CNP

• Allergy & Immunology (Internal Medicine) Physician in Lakeside Park, KY
• Providers in Lakeside Park, KY by specialty
• Allergy & Immunology (Internal Medicine) Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2015; 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.