Individual provider Active NPI

William A Greisner, MD

  • Allergy & Immunology Physician
  • Lexington, KY
National Provider Identifier
1720095334
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
32610 Issued in KY
Practice address
171 North Eagle Creek Drive
Suite 106
Lexington, KY 40509
Phone
(859) 277-9112
Fax
(859) 277-7105
NPI assigned
Aug 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 32610 KY Primary

Addresses

Primary practice location

171 North Eagle Creek Drive
Suite 106
Lexington, KY 40509

Mailing address

171 North Eagle Creek Drive
Suite 106
Lexington, KY 40509
Phone (859) 277-9112

Other identifiers 2

IdentifierTypeStateIssuer
000000045610OtherKYBLUE CROSS BLUE SHIELD
64326101MedicaidKY

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20060120000016 KY Practitioner - Allergy/Immunology 9032133871 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Eastern Virginia Medical School, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allergy and Asthma Associates, P. S. CGroup PAC ID 6305873951, 2 clinicians

Practice addresses (Care Compare)

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

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
32610KYMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy & Asthma Associates, P. S. C CurrentSince Jul 15, 1996 Accepting new patients

Locations

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

805 Alexa Dr
Ste B
Mt Sterling, KY 40353
Phone (606) 277-9112

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

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720095334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 NORTH EAGLE CREEK DRIVE",
            "address_2": "SUITE 106",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40509",
            "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 NORTH EAGLE CREEK DRIVE",
            "address_2": "SUITE 106",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40509",
            "telephone_number": "859-277-9112",
            "fax_number": "859-277-7105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREISNER",
        "first_name": "WILLIAM",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "KY",
            "license": "32610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000000045610",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64326101",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.