Organization Active NPI

Allergy Asthma Clinical Immunology and Sinus Center PLLC

  • Allergy & Immunology Physician
  • Fort Myers, FL
National Provider Identifier
1104536218
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
Legal business name
ALLERGY ASTHMA CLINICAL IMMUNOLOGY AND SINUS CENTER PLLC
Practice address
9671 Gladiolus Dr Ste 104
Fort Myers, FL 33908-7684
Phone
(239) 939-2246
NPI assigned
Nov 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2022

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

Authorized official

Name
Ronald Negrich
Title
Ceo/ Owner
Phone
(419) 320-1909

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X Primary

Addresses

Primary practice location

9671 Gladiolus Dr Ste 104
Fort Myers, FL 33908-7684

Mailing address

9671 Gladiolus Dr Ste 104
Fort Myers, FL 33908-7684

National Provider Directory

National Provider Directory

Locations

9671 Gladiolus Dr
Ste 104
Fort Myers, FL 33908
Phone (239) 939-2246

100 Madrid Blvd
Unit 112
Punta Gorda, FL 33950
Phone (239) 939-2246

NPI Registry JSON

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

{
    "created_epoch": "1669680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669766400000",
    "number": "1104536218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9671 GLADIOLUS DR STE 104",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339087684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9671 GLADIOLUS DR STE 104",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339087684",
            "telephone_number": "239-939-2246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY ASTHMA CLINICAL IMMUNOLOGY AND SINUS CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-29",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A",
        "authorized_official_last_name": "NEGRICH",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "CEO/ OWNER",
        "authorized_official_telephone_number": "419-320-1909"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; 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.