Southern Utah Allergy and Asthma Clinic PC

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

5416150-1205 Issued in UT

Legal business name

SOUTHERN UTAH ALLERGY AND ASTHMA CLINIC PC

Doing business as

Southwest Allergy and Asthma Clinic PC

Practice address

1490 E Foremaster Dr Ste 260
Saint George, UT 84790-4502

Phone

(435) 688-1128

Fax

(435) 673-4045

NPI assigned

Feb 20, 2007

Last updated

Dec 12, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kenneth R Pinna, MDNPI 1568423879

Title

President

Phone

(435) 688-1128

Specialties & licenses 1

Addresses

Other names 1

• Southwest Allergy and Asthma Clinic PC Doing business as

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

Practitioners 2

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.

• Kenneth R Pinna, M.D.

  • Specialist
  • St George, UT
  • NPI 1568423879
  Medicare reassignment Authorized official
• Charisma O Pinna, M.D.

  • Specialist
  • St George, UT
  • NPI 1134182264
  Medicare reassignment NPD

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765497600000",
    "number": "1124163902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1490 E FOREMASTER DR STE 260",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847904502",
            "telephone_number": "435-688-1128",
            "fax_number": "435-673-4045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 E FOREMASTER DR STE 260",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847904502",
            "telephone_number": "435-688-1128",
            "fax_number": "435-673-4045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN UTAH ALLERGY AND ASTHMA CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A",
        "authorized_official_last_name": "PINNA",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "435-688-1128",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "UT",
            "license": "5416150-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southwest Allergy and Asthma Clinic PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Allergy & Immunology Physician in St George, UT
• Providers in St George, UT by specialty
• Allergy & Immunology Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.