ASTHMA AND ALLERGY CENTER
NPI 1053382788
Allergy & Immunology in Pikeville, KY

Active since January 31, 2006CLIA 18D0325041 · Waiver
156 ISLAND CREEK RD, PIKEVILLE, KY 41501(606) 432-0174(606) 437-0438 Get Directions Write a Review

NPPES record last updated: September 13, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 13, 2024, Aug 19, 2019 (2 updates tracked since 2019).

About Asthma And Allergy Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ASTHMA AND ALLERGY CENTER (NPI 1053382788) is a healthcare organization registered as an allergy & immunology in Pikeville, Kentucky and active in the NPI registry since January 2006. The organization holds a CLIA Waiver certificate valid through December 31, 2026, maintains a secondary practice location in Hazard, and lists Djien H So, Administrator, as its authorized official.

NPPES Registry Identity

NPI1053382788
Entity TypeOrganization
Primary Taxonomy207K00000X
Legal Business NameMEDICAL INVESTMENT TRUST
Location Address156 ISLAND CREEK RDPikeville, KY 41501-9340
Mailing AddressPo Box 2708, Asthma And Allergy CenterPikeville, KY 41502-2708 · (606) 432-0174 · Fax (606) 437-0438
Fax(606) 437-0438
Organization SubpartNo
Authorized OfficialDjien H SoAdministrator · (606) 432-0174
Enumeration DateJanuary 31, 2006
Last NPPES UpdateSeptember 13, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 13, 2024
NPI 1053382788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207K00000X
License Licensed in KY · 17816
Definition

An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 3001627 (KY)
156 ISLAND CREEK RD, Pikeville, KY 41501

Other Names 1

Doing Business AsAsthma And Allergy Center

Secondary Practice Location 1

Location 11710 N Main StHazard, KY 41701-1278 · Phone (606) 439-4865 · Fax (606) 436-9953

Other Identifiers 1

Medicaid65-922866KY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D0325041

Asthma And Allergy Center · Pikeville, KY
Active · expires Dec 31, 2026
CLIA Number18D0325041
Laboratory TypePhysician Office
Certificate Effective DateJanuary 1, 2025
Certificate Expiration DateDecember 31, 2026
Laboratory DirectorDr. Leonor Pagtakhan-So
Laboratory Phone(606) 432-0174
Laboratory LocationAsthma And Allergy Center156 Island Creek Road, Pikeville, KY 41501
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
156 ISLAND CREEK RD, PEDIATRIC ASSOCIATES
PIKEVILLE, KY 41501
Clinical Medical Laboratory
156 ISLAND CREEK RD
PIKEVILLE, KY 41501
Nurse Practitioner (Family)
156 ISLAND CREEK RD
PIKEVILLE, KY 41501
Counselor (Mental Health)
156 ISLAND CREEK RD
PIKEVILLE, KY 41501
Nurse Practitioner (Pediatrics)
156 ISLAND CREEK RD
PIKEVILLE, KY 41501
Nurse Practitioner (Family)
156 ISLAND CREEK RD
PIKEVILLE, KY 41501
Allergy & Immunology
156 ISLAND CREEK RD
PIKEVILLE, KY 41501
Nurse Practitioner (Family)
156 ISLAND CREEK RD
PIKEVILLE, KY 41501

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053382788, enumerated as an "organization" on January 31, 2006.

The provider is located at 156 ISLAND CREEK RD PIKEVILLE, KY 41501 and the phone number is (606) 432-0174.

Allergy & Immunology with taxonomy code 207K00000X.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.