Allergy Associates, PA
Organization Active NPI Allergy & Immunology Physician · Prairieville, LA
NPI 1144601014 · NPPES record last updated Jun 16, 2015
Key facts
- NPI
- 1144601014
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Allergy & Immunology Physician 207K00000X
- License
- 4738 (TN)
- Legal business name
- ALLERGY ASSOCIATES, PA
- Practice address
- 16260 Airline Hwy
Suite F
Prairieville, LA 70769-4272 - Phone
- (865) 584-5727
- Fax
- (865) 450-9904
- NPI assigned
- Jun 16, 2015
- Organization subpart
- No
Authorized official
- Name
- Robert M Overholt, MD
- Title
- Owner
- Phone
- (865) 584-5727
Other NPIs with the same Medicare PAC ID 4
Practitioners 77
-
Louis Ben Gaudin II, M.D.
-
Ashley Raburn, PA-C
-
Luis Gabriel Guerrero, PA-C
-
Robert Baye, PA-C
-
Sarah Nicole Adams, M.D.
-
Sarah B Balitsaris, ARNP
-
Lauren Blakley, APRN, FNP-BC
-
Sierra Dorris Bridgers, APRN
-
Sophia Marie Brucker, FNP-C
-
Krystal Ann Collins, APRN, BC
-
Jane Rasnick Conley, M.D.
-
Laura Marie Core, PNP
-
Christina Brannan Daniel, PA-C
-
Rachel White Davidson, CPNP
-
Myrna Alise Foreman, PA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160223000166 | LA | Part B Supplier - Clinic/Group Practice | 1355246398 |
Receives reassigned benefits from 7 practitioners Practice locations: Prairieville, LA |
National Provider Directory
Locations
9247 Bluebonnet Blvd
Ste A
Baton Rouge, LA 70810
1019 N Range Ave
Denham Springs, LA 70726
16260 Airline Hwy
Prairieville, LA 70769
Phone (225) 744-1111
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician |
207K00000X | 4738 | TN | Yes |
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
- The Allergy Asthma and Sinus Center
Other providers in Prairieville, LA
- Kylie Aiken
- Morton Joseph Aime
- Kathryn Alexander
- Terrance Alexander
- Wayne Alexis Jr.
- Ally Mental Health, LLC
- Alpha Neuro, LLC
- Ashley Nicole Altmon
- David Anthony Alvarez
- Always Hope LLC
All providers in Prairieville, LA · Allergy & Immunology Physician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.