Organization Active NPI

Central Pennsylvania Asthma and Allergy Care, LLC

  • Specialist
  • Hollidaysburg, PA
National Provider Identifier
1083730857
Registry record updated Jun 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD015039E Issued in PA
Legal business name
CENTRAL PENNSYLVANIA ASTHMA AND ALLERGY CARE, LLC
Practice address
800 S Logan Blvd Ste 3200
Hollidaysburg, PA 16648-3050
Phone
(814) 944-2097
Fax
(814) 941-2303
NPI assigned
Mar 22, 2007
Last updated
Jun 23, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2020

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

Authorized official

Name
Dr. Jeffrey RoschNPI 1922007939
Title
Owner
Phone
(814) 944-2097

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD015039E PA Primary

Addresses

Primary practice location

800 S Logan Blvd Ste 3200
Hollidaysburg, PA 16648-3050

Mailing address

800 S Logan Blvd Ste 3200
Hollidaysburg, PA 16648-3050
Phone (814) 944-2097

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071010000657 PA Part B Supplier - Clinic/Group Practice 5597851287 Receives reassigned benefits from 4 practitioners
Practice locations: Hollidaysburg, PA

National Provider Directory

National Provider Directory

Locations

800 S Logan Blvd
Ste 3200
Hollidaysburg, PA 16648
Phone (814) 944-2097

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592870400000",
    "number": "1083730857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S LOGAN BLVD STE 3200",
            "city": "HOLLIDAYSBURG",
            "state": "PA",
            "postal_code": "166483050",
            "telephone_number": "814-944-2097",
            "fax_number": "814-941-2303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S LOGAN BLVD STE 3200",
            "city": "HOLLIDAYSBURG",
            "state": "PA",
            "postal_code": "166483050",
            "telephone_number": "814-944-2097",
            "fax_number": "814-941-2303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL PENNSYLVANIA ASTHMA AND ALLERGY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A",
        "authorized_official_last_name": "ROSCH",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-944-2097",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD015039E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollidaysburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.