Organization Active NPI

Nyan & Associates, PSC

  • Obstetrics & Gynecology Physician
  • Louisville, KY
National Provider Identifier
1851373617
Registry record updated Aug 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
30599 Issued in KY
Legal business name
NYAN & ASSOCIATES, PSC
Practice address
801 Barret Ave
Suite 210
Louisville, KY 40204-1733
Phone
(502) 587-0111
Fax
(502) 587-9112
NPI assigned
Nov 17, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2008

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

Authorized official

Name
Isabella Nyan, MDNPI 1811979685
Title
Physicia/Owner
Phone
(502) 587-0111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X 30599 KY Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

801 Barret Ave
Suite 210
Louisville, KY 40204-1733

Mailing address

801 Barret Ave
Suite 210
Louisville, KY 40204-1733
Phone (502) 587-0111

Other identifiers 3

IdentifierTypeStateIssuer
200421820AMedicaidIN
65920647MedicaidKY
78901915MedicaidKY

National Provider Directory

National Provider Directory

Locations

801 Barret Ave
Ste 210
Louisville, KY 40204
Phone (502) 587-0111

1903 W Hebron Ln
Ste 201
Shepherdsville, KY 40165

Practitioners & affiliated clinicians

Practitioners 1

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": "1132185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217894400000",
    "number": "1851373617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 BARRET AVE",
            "address_2": "SUITE 210",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402041733",
            "telephone_number": "502-587-0111",
            "fax_number": "502-587-9112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 BARRET AVE",
            "address_2": "SUITE 210",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402041733",
            "telephone_number": "502-587-0111",
            "fax_number": "502-587-9112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NYAN & ASSOCIATES, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-17",
        "last_updated": "2008-08-05",
        "status": "A",
        "authorized_official_last_name": "NYAN",
        "authorized_official_first_name": "ISABELLA",
        "authorized_official_title_or_position": "PHYSICIA/OWNER",
        "authorized_official_telephone_number": "502-587-0111",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "KY",
            "license": "30599",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200421820A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65920647",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78901915",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; 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.