Premier Allergy & Asthma, P.C.

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

Legal business name

PREMIER ALLERGY & ASTHMA, P.C.

Practice address

19245 E Smoky Hill Rd Unit a
Centennial, CO 80015-3122

Phone

(303) 468-8668

Fax

(303) 468-8669

NPI assigned

May 1, 2007

Organization subpart

No

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

Authorized official

Name

Raweewan Hoontrakoon

Title

Owner

Phone

(303) 468-8668

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599264000000",
    "number": "1104047026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19245 E SMOKY HILL RD UNIT A",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "800153122",
            "telephone_number": "303-468-8668",
            "fax_number": "303-468-8669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19245 E SMOKY HILL RD UNIT A",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "800153122",
            "telephone_number": "303-468-8668",
            "fax_number": "303-468-8669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER ALLERGY & ASTHMA, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-09-05",
        "certification_date": "2020-09-05",
        "status": "A",
        "authorized_official_last_name": "HOONTRAKOON",
        "authorized_official_first_name": "RAWEEWAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-468-8668"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE SHIELD",
            "identifier": "PR670514",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Allergy & Immunology Physician in Centennial, CO
• Providers in Centennial, CO by specialty
• Allergy & Immunology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2020; 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.