NPIMap

Organization Active NPI

Asthma and Allergy Clinic, P.a.

  • Allergy & Immunology (Internal Medicine) Physician
  • Panama City, FL
National Provider Identifier
1093812612
Registry record updated Nov 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology (Internal Medicine) PhysicianTaxonomy code 207RA0201X
Legal business name
ASTHMA AND ALLERGY CLINIC, P.A.
Practice address
2687 Jenks Ave
Panama City, FL 32405-4351
Phone
(850) 747-3665
NPI assigned
Sep 17, 2006
Last updated
Nov 5, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2012

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

Authorized official

Name
Geeta Khare, M.D.
Title
President
Phone
(850) 747-3665

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207KA0200X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Allergy & Immunology (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RA0201X Primary

Addresses

Primary practice location

2687 Jenks Ave
Panama City, FL 32405-4351

Mailing address

2687 Jenks Ave
Panama City, FL 32405-4351
Phone (850) 747-3665

Other identifiers 1

IdentifierTypeStateIssuer
267727000MedicaidFL

National Provider Directory

National Provider Directory

Locations

2687 Jenks Ave
Panama City, FL 32405
Phone (850) 215-7920

Practitioners & affiliated clinicians

Practitioners 4

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": "1158451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352073600000",
    "number": "1093812612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2687 JENKS AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054351",
            "telephone_number": "850-747-3665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2687 JENKS AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054351",
            "telephone_number": "850-747-3665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASTHMA AND ALLERGY CLINIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-17",
        "last_updated": "2012-11-05",
        "status": "A",
        "authorized_official_last_name": "KHARE",
        "authorized_official_first_name": "GEETA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-747-3665",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RA0201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "267727000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2012; 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.