Organization Active NPI

Iraklis C Livas MD PSC

  • Specialist
  • Lexington, KY
National Provider Identifier
1477622355
Registry record updated Feb 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
IRAKLIS C LIVAS MD PSC
Practice address
1019 Majestic Dr Ste 210
Lexington, KY 40513-1947
Phone
(859) 277-3114
Fax
(859) 275-1942
NPI assigned
Nov 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2013

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

Authorized official

Name
Mrs. Eleni Livas
Title
Manager
Phone
(859) 277-3114

Specialties & licenses 1

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

Addresses

Primary practice location

1019 Majestic Dr Ste 210
Lexington, KY 40513-1947

Mailing address

1019 Majestic Dr
Suite 210
Lexington, KY 40513-1496
Phone (859) 277-3114

Other names 1

  • Allergy Asthma and Immunology PSC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040217000037 KY Part B Supplier - Clinic/Group Practice 9234024522 Receives reassigned benefits from 5 practitioners
Practice locations: Frankfort, KY; Lexington, KY; Morehead, KY; Mount Vernon, KY; Mt Sterling, KY

National Provider Directory

National Provider Directory

Locations

101 Medical Heights Dr
Ste A
Frankfort, KY 40601
Phone (502) 223-5758

101 Medical Heights Dr
Ste E
Frankfort, KY 40601
Phone (502) 227-7538

1019 Majestic Dr
Ste 210
Lexington, KY 40513
Phone (895) 277-3114

2101 Nicholasville Rd
#302
Lexington, KY 40503

101 Brandon Way
Mount Sterling, KY 40353

140 Newcomb Ave
Ste 3
Mount Vernon, KY 40456

611 Tighlman Way
Ste 210
Mt Sterling, KY 40353

101 Brandon Way
Ste B
Mt Sterling, KY 40353

Practitioners & affiliated clinicians

Practitioners 11

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": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360540800000",
    "number": "1477622355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 MAJESTIC DR",
            "address_2": "SUITE 210",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405131496",
            "telephone_number": "859-277-3114",
            "fax_number": "859-275-1942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 MAJESTIC DR STE 210",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405131947",
            "telephone_number": "859-277-3114",
            "fax_number": "859-275-1942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRAKLIS C LIVAS MD PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2013-02-11",
        "status": "A",
        "authorized_official_last_name": "LIVAS",
        "authorized_official_first_name": "ELENI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "859-277-3114",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allergy Asthma and Immunology PSC",
            "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 Feb 11, 2013; 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.