ADVANCED ENT AND ALLERGY PLLC
NPI 1780817502
Otolaryngology in Louisville, KY

Q: What is Advanced Ent And Allergy PLLC's NPI number?

The NPI number for Advanced Ent And Allergy PLLC is 1780817502. It was assigned to this organization in the NPPES registry on August 27, 2009.

Q: What is Advanced Ent And Allergy PLLC's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Active since August 27, 2009CLIA 15D2120496 · Waiver

2944 BRECKENRIDGE LN, LOUISVILLE, KY 40220(502) 893-0159(502) 213-3893 Get Directions Write a Review

NPPES record last updated: December 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 16, 2024, Mar 28, 2023, Nov 15, 2022 and 9 more (12 updates tracked since 2017).

On this page

About Advanced Ent And Allergy Pllc NPPES

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

ADVANCED ENT AND ALLERGY PLLC (NPI 1780817502) is a healthcare organization registered as an otolaryngology in Louisville, Kentucky and active in the NPI registry since August 2009. The organization holds a CLIA Waiver certificate valid through October 17, 2026, maintains 2 additional practice locations, and lists Tatiana Sycheva-johnson, Chro, as its authorized official.

NPPES Registry Identity

NPI1780817502

Entity TypeOrganization

Primary Taxonomy207Y00000X

Legal Business NameADVANCED ENT AND ALLERGY PLLC

Location Address2944 BRECKENRIDGE LNLouisville, KY 40220-1409

Mailing Address2944 Breckenridge LnLouisville, KY 40220-1409 · (502) 893-0159 · Fax (502) 213-3843

Phone(502) 893-0159

Fax(502) 213-3893

Organization SubpartNo

Authorized OfficialTatiana Sycheva-johnsonChro · (404) 545-5166

Enumeration DateAugust 27, 2009

Last NPPES UpdateDecember 16, 202412 updates tracked since enumeration

NPPES CertifiedDecember 16, 2024

✔ NPI 1780817502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 11

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207Y00000X

Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Also ListedAllergy & ImmunologyTaxonomy 207K00000X

Also ListedRadiology · Radiation OncologyTaxonomy 2085R0001X

Also ListedPhysical TherapistTaxonomy 225100000X

Also ListedPhysical Therapist · OrthopedicTaxonomy 2251X0800X

Also ListedAudiologistTaxonomy 231H00000X

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X

Also ListedNurse PractitionerTaxonomy 363L00000X

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X

2944 BRECKENRIDGE LN, Louisville, KY 40220

Open in Google Maps ↗

Secondary Practice Locations 2

Location 1108 W Daisy LnNew Albany, IN 47150-4537 · Phone (812) 945-3557 · Fax (502) 213-3893

Location 22944 Breckenridge LnLouisville, KY 40220-1409 · Phone (502) 893-0159 ext. 1188 · Fax (022) 133-8935

Other Identifiers 2

Medicaid200981820IN

Medicaid7100102680KY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.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 15D2120496

Advanced Ent & Allergy · New Albany, IN

Active · expires Oct 17, 2026

CLIA Number15D2120496

Laboratory TypePhysician Office

Certificate Effective DateOctober 18, 2024

Certificate Expiration DateOctober 17, 2026

Laboratory DirectorVenkata V. Kakarlapudi

Laboratory Phone(812) 945-3557

Laboratory LocationAdvanced Ent & Allergy108 W Daisy Lane, New Albany, IN 47150

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

ALANNA MARIE FRIEDRICH PA-C

Physician Assistant