NPIMap

Organization Active NPI

Allergy Associates, PA

Doing business as The Allergy Asthma and Sinus Center

  • Allergy & Immunology Physician
  • Prairieville, LA
National Provider Identifier
1144601014
Registry record updated Jun 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
4738 Issued in TN
Legal business name
ALLERGY ASSOCIATES, PA
Doing business as
The Allergy Asthma and Sinus Center
Practice address
16260 Airline Hwy
Suite F
Prairieville, LA 70769-4272
Phone
(865) 584-5727
Fax
(865) 450-9904
NPI assigned
Jun 16, 2015
Last updated
Jun 16, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2015

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

Authorized official

Name
Robert M Overholt, MD
Title
Owner
Phone
(865) 584-5727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207K00000X 4738 TN Primary

Addresses

Primary practice location

16260 Airline Hwy
Suite F
Prairieville, LA 70769-4272

Mailing address

PO Box 51770
Knoxville, TN 37950-1770
Phone (865) 584-5727

Other names 1

  • The Allergy Asthma and Sinus Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160223000166 LA Part B Supplier - Clinic/Group Practice 1355246398 Receives reassigned benefits from 7 practitioners
Practice locations: Prairieville, LA

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1434412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434412800000",
    "number": "1144601014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51770",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379501770",
            "telephone_number": "865-584-5727",
            "fax_number": "865-584-3364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16260 AIRLINE HWY",
            "address_2": "SUITE F",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707694272",
            "telephone_number": "865-584-5727",
            "fax_number": "865-450-9904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-16",
        "last_updated": "2015-06-16",
        "status": "A",
        "authorized_official_last_name": "OVERHOLT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-584-5727",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": "TN",
            "license": "4738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Allergy Asthma and Sinus Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Prairieville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; 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.