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HomeProvidersADVANCED ENT AND ALLERGY PLLC

Otolaryngology

ADVANCED ENT AND ALLERGY PLLC

Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.

Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.

Public record

NPI 1780817502 · enumerated 2009-08-27 · record updated 2024-12-16. Source: CMS NPPES. A listing is not a TRICARE network approval.

NPPES record Google Maps Apple Maps OpenStreetMap

Authorized official: TATIANA SYCHEVA-JOHNSON, CHRO · (404) 545-5166

Addresses and phones

Practice location 2944 BRECKENRIDGE LN, LOUISVILLE, KY, 40220-1409 (502) 893-0159 Fax (502) 213-3893 Google Maps Apple Maps OpenStreetMap
Mailing address 2944 BRECKENRIDGE LN, LOUISVILLE, KY, 40220-1409 (502) 893-0159 Fax (502) 213-3843 Google Maps Apple Maps OpenStreetMap

Specialties

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

In this directory

KY Jefferson County Louisville Otolaryngology

Locations and evidence

Practice location LOUISVILLE, KY, 402201409
Accepting new patientsNot reportedCMS NPPES · September 30, 2026

Plan acceptance

No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.