Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Advanced ENT and Allergy PLLC

Organization Allergy & Immunology Physician · NPI 1780817502

Advanced ENT and Allergy PLLC is an Allergy & Immunology Physician in Louisville, Kentucky. Works from 3 locations. Registered with an NPI since 2009.

In the registry since
2009
Specialties on file
11
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2944 Breckenridge Ln
Louisville, KY 40220-1409
Phone: (502) 893-0159
Fax: (502) 213-3893
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 108 W Daisy Ln, New Albany, IN 47150-4537 — (812) 945-3557
  • 2944 Breckenridge Ln, Louisville, KY 40220-1409 — (502) 893-0159

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X
Allergy & Immunology Physician Taxonomy 207K00000X
Radiation Oncology Physician Taxonomy 2085R0001X
Physical Therapist Taxonomy 225100000X
Orthopedic Physical Therapist Taxonomy 2251X0800X
Audiologist Taxonomy 231H00000X
Physician Assistant Taxonomy 363A00000X
Medical Physician Assistant Taxonomy 363AM0700X
Nurse Practitioner Taxonomy 363L00000X
Family Nurse Practitioner Taxonomy 363LF0000X
Primary Care Nurse Practitioner Taxonomy 363LP2300X

Record details

NPI number1780817502
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tatiana Sycheva-Johnson — Chro · (404) 545-5166
NPI enumeratedAugust 27, 2009
Last updated in NPPESDecember 16, 2024
Certification dateDecember 16, 2024
Mailing address2944 Breckenridge Ln, Louisville, KY 40220-1409

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