Active NPI
Allergy & Asthma of Southern Indiana, PC
- Allergy & Immunology Physician
- Washington, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 50003795A
- Legal business name
- ALLERGY & ASTHMA OF SOUTHERN INDIANA, PC
- Practice address
- 1314 E Walnut St
Washington, IN 47501-2860 - Phone
- (812) 334-1198
- NPI assigned
- Jun 7, 2007
- Last updated
- Aug 22, 2020
- 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
- Daniel R McCormack, D.O.
- Title
- President
- Phone
- (812) 334-1198
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 50003795A | IN | Primary |
Addresses
Primary practice location
1314 E Walnut St
Washington, IN 47501-2860
Mailing address
485 S Landmark Ave
Bloomington, IN 47403-5005
Phone (812) 334-1198
National Provider Directory
National Provider Directory- Tax ID family
- Allergy Asthma of Southern Indiana PC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Allergy & Immunology Physician
- Paoli, IN
- NPI 1205039112
-
- Allergy & Immunology Physician
- Bedford, IN
- NPI 1396948204
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Allergy & Immunology Physician
- Bloomington, IN
- NPI 1629076849
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181174400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1114120029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "485 S LANDMARK AVE",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474035005",
"telephone_number": "812-334-1198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1314 E WALNUT ST",
"city": "WASHINGTON",
"state": "IN",
"postal_code": "475012860",
"telephone_number": "812-334-1198"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALLERGY & ASTHMA OF SOUTHERN INDIANA, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-07",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MCCORMACK",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "812-334-1198",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "IN",
"license": "50003795A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.