Kentuckiana Allergy PSC

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

Legal business name

KENTUCKIANA ALLERGY PSC

Practice address

9113 Leesgate Rd
Louisville, KY 40222-5003

Phone

(502) 426-1621

Fax

(502) 426-7906

NPI assigned

Aug 21, 2006

Last updated

Jun 19, 2014By 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

Dr. Daniel A. Garcia II, MD

Title

President/MD

Phone

(502) 426-1621

Specialties & licenses 2

Addresses

Other identifiers 3

Locations

Practitioners 5

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.

• Arthur H Althaus, MD

  • Specialist
  • Louisville, KY
  • NPI 1619960481
  NPD (past)
• Mary Julia Kaiser, ARNP

  • Nurse Practitioner
  • Edgewood, KY
  • NPI 1821081571
  NPD (past)
• Hobert L Pence, MD

  • Allergy & Immunology Physician
  • Louisville, KY
  • NPI 1447243167
  NPD (past)
• Derek A Damin, MD

  • Allergy & Immunology Physician
  • Nashville, TN
  • NPI 1003809724
  NPD (past)
• Melissa Gail Wilkerson, APRN

  • Family Nurse Practitioner
  • New Albany, IN
  • NPI 1669788642
  NPD (past)

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403136000000",
    "number": "1790891125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9113 LEESGATE RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402225003",
            "telephone_number": "502-426-1621",
            "fax_number": "502-426-7906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9113 LEESGATE RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402225003",
            "telephone_number": "502-426-1621",
            "fax_number": "502-426-7906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKIANA ALLERGY PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2014-06-19",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT/MD",
        "authorized_official_telephone_number": "502-426-1621",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100389960A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100036520",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65915878",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul R Kensicki, MD
• Alexander G Kent
• Latanya Patrice Kent, MOT, OTRL
• Sintelle Kemper Kent, DMD
• Kentuckiana Adult Medicine Specialists
• Kentuckiana Anesthesia Professionals PLLC
• Kentuckiana Behavioral Services LLC
• Kentuckiana Cardiovascular Specialists PSC
• Kentuckiana Center for Better Bone & Joint Health PLLC
• Kentuckiana Center for Better Bone & Joint Health PLLC (Kentuckiana Rheumatology)

• Allergy & Immunology Physician in Louisville, KY
• Providers in Louisville, 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 Jun 19, 2014; 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.