Active NPI
Allergy Associates of Central in LLC
- Allergy & Immunology Physician
- Indianapolis, IN
National Provider Identifier
1093748253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- Legal business name
- ALLERGY ASSOCIATES OF CENTRAL IN LLC
- Practice address
- 3266 N Meridian St
Suite 900
Indianapolis, IN 46208-5846 - Phone
- (317) 924-8297
- Fax
- (317) 924-8348
- NPI assigned
- Jul 9, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Rebecca A Goldberg
- Title
- Executive Director
- Phone
- (317) 924-8297
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | Primary | ||
| Allergy Physician | 207KA0200X | |||
| Nurse Practitioner | 363L00000X | |||
| Adult Health Nurse Practitioner | 363LA2200X | |||
| Family Nurse Practitioner | 363LF0000X |
Addresses
Primary practice location
3266 N Meridian St
Suite 900
Indianapolis, IN 46208-5846
Mailing address
3266 N Meridian St
Suite 900
Indianapolis, IN 46208-5846
Phone (317) 924-8297
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200809930 | Medicaid | IN |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1362960000000",
"number": "1093748253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3266 N MERIDIAN ST",
"address_2": "SUITE 900",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462085846",
"telephone_number": "317-924-8297",
"fax_number": "317-924-8348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3266 N MERIDIAN ST",
"address_2": "SUITE 900",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462085846",
"telephone_number": "317-924-8297",
"fax_number": "317-924-8348"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALLERGY ASSOCIATES OF CENTRAL IN LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-09",
"last_updated": "2013-03-11",
"status": "A",
"authorized_official_last_name": "GOLDBERG",
"authorized_official_first_name": "REBECCA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "317-924-8297",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Allergy & Immunology",
"state": null,
"license": null,
"primary": true
},
{
"code": "207KA0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Allergy & Immunology, Allergy",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200809930",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.