Westshore Allergy and Immunology,LLC

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

35076434 Issued in OH

Legal business name

WESTSHORE ALLERGY AND IMMUNOLOGY,LLC

Practice address

29160 Center Ridge Rd
Suite a
Westlake, OH 44145-5225

Phone

(440) 835-1899

Fax

(440) 835-1855

NPI assigned

Jun 15, 2007

Last updated

Nov 21, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kholoud Khalil Wishah, MDNPI 1649299793

Title

Owner

Phone

(440) 541-3081

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kholoud K Wishah, MD

  • Pediatric Allergy/Immunology Physician
  • Westlake, OH
  • NPI 1649299793
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384992000000",
    "number": "1013112630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29160 CENTER RIDGE RD",
            "address_2": "SUITE A",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441455225",
            "telephone_number": "440-835-1899",
            "fax_number": "440-835-1855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29160 CENTER RIDGE RD",
            "address_2": "SUITE A",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441455225",
            "telephone_number": "440-835-1899",
            "fax_number": "440-835-1855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSHORE ALLERGY AND IMMUNOLOGY,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-15",
        "last_updated": "2013-11-21",
        "status": "A",
        "authorized_official_last_name": "WISHAH",
        "authorized_official_first_name": "KHOLOUD",
        "authorized_official_middle_name": "KHALIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-541-3081",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "OH",
            "license": "35076434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2468664",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Westlake Medical Associates, Inc.
• Westlake Nursing and Rehabilitation Center LLC (The Orchards of Westlake Living & Rehab Center)
• Westlake Operations, LLC (Life Care Center of Westlake)
• Westlake Operations, LLC (Fairmont of Westlake)
• Westlake R&N Opco, LLC
• Westshore Dermatology Inc
• Westshore Primary Care Assoc Inc
• Westshore Primary Care Assoc Inc
• Westshore Primary Care Assoc. Inc.
• Westshore Primary Care Assoc., Inc.

• Allergy & Immunology Physician in Westlake, OH
• Providers in Westlake, OH by specialty
• Allergy & Immunology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.