Albemarle Allergy & Asthma, PC

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

72895 Issued in NC

Legal business name

ALBEMARLE ALLERGY & ASTHMA, PC

Practice address

410 E Main St
Suite 202
Elizabeth City, NC 27909-4495

Phone

(252) 338-0373

NPI assigned

Feb 1, 2007

Last updated

Aug 13, 2012By 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

Timothy Alexander Tolson, MDNPI 1811973522

Title

Owner

Phone

(252) 338-0373

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

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.

• Timothy Alexander Tolson, MD

  • Allergy & Immunology Physician
  • Elizabeth City, NC
  • NPI 1811973522
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344816000000",
    "number": "1124165659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 E MAIN ST",
            "address_2": "SUITE 202",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279094495",
            "telephone_number": "252-338-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 E MAIN ST",
            "address_2": "SUITE 202",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279094495",
            "telephone_number": "252-338-0373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBEMARLE ALLERGY & ASTHMA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2012-08-13",
        "status": "A",
        "authorized_official_last_name": "TOLSON",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-338-0373",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NC",
            "license": "72895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6983580",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "0139J",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Allergy & Immunology Physician in Elizabeth City, NC
• Providers in Elizabeth City, NC by specialty
• Allergy & Immunology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; 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.