BLUEGRASS ALLERGY AND ASTHMA NPI 1962691923

NPI Information

  • NPI: 1962691923
  • Provider Name: BLUEGRASS ALLERGY AND ASTHMA
  • Classification: Internal Medicine - 207RA0201X
  • Specialization: Allergy & Immunology
  • Entity Type: Organization
  • Address: 11900 PLANTSIDE DR
    STE 9
    LOUISVILLE, KY
    ZIP 40299
  • Phone: (502) 267-0556

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NPI Details

BLUEGRASS ALLERGY AND ASTHMA is an allergy and immunology internal medicine in Louisville, KY. The provider is an internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology. BLUEGRASS ALLERGY AND ASTHMA NPI is 1962691923. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

11900 PLANTSIDE DR
STE 9
LOUISVILLE, KY
ZIP 40299-367
Phone: (502) 267-0556
Fax: (502) 267-1715

The provider's authorized official is Frank Tolis Simon .
The authorized official title is Physician and has the following contact phone number (502) 267-0556.

The enumeration date for this NPI number is 10/16/2007 and was last updated on 1/15/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RA0201XInternal MedicineAllergy & Immunology34409KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1G17471MEDICARE UPINKENTUCKY
26341MEDICARE PINKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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