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

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

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.

• Kenneth R Pinna, M.D.

  • Specialist
  • Saint George, UT
  • NPI 1568423879

  UT

  Medicare reassignment Authorized official
• Charisma O Pinna, M.D.

  • Specialist
  • St George, UT
  • NPI 1134182264

  UT

  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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• All providers in Saint George, UT
• 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.