Amy B Mashburn, MD

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

36048 Issued in KY

Practice address

166 Pasadena Dr Ste 150
Lexington, KY 40503

Phone

(859) 276-1452

Fax

(859) 277-1237

NPI assigned

Jul 12, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Allergy & Asthma Associates, P. S. C

  • Specialist
  • Lexington, KY
  • NPI 1174634455
  Medicare reassignment
• PSF PLLC

  • Allergy & Immunology Physician
  • Louisville, KY
  • NPI 1881785947
  NPD (past)
• Allergy Partners, PLLC

  • Allergy & Immunology Physician
  • Greenville, SC
  • NPI 1215927462
  NPD (past)

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573603200000",
    "number": "1487652533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 603725",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282603725",
            "telephone_number": "828-575-2625",
            "fax_number": "828-350-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 PASADENA DR STE 150",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40503",
            "telephone_number": "859-276-1452",
            "fax_number": "859-277-1237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASHBURN",
        "first_name": "AMY",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-12",
        "last_updated": "2019-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "KY",
            "license": "36048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64013808",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beulah E Maryea, BS
• Marypoppins LLC
• Katelyn N Marzette, BA, RBT
• Amanda Limbaugh Marzolf, M.D.
• Sean A Marzolf, MD
• Odeh Mashni
• Peyton Mashni, MD
• Ashish Prakash Maskey, MBBS
• Christy Mason
• Courtney Leigh Mason, PT, DPT

• Allergy & Immunology Physician in Lexington, KY
• Providers in Lexington, KY by specialty
• Allergy & Immunology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.