Organization Active NPI

Adult and Child Allergy, P.a.

  • Allergy & Immunology Physician
  • Saint Paul, MN
National Provider Identifier
1154341618
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
342 Issued in MN
Legal business name
ADULT AND CHILD ALLERGY, P.A.
Practice address
1690 University Ave W
Suite 450
Saint Paul, MN 55104-3723
Phone
(651) 645-8182
Fax
(651) 649-3509
NPI assigned
Jul 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. William Emmett Walsh, M.D.NPI 1790783652
Title
President
Phone
(651) 645-8182

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X 342 MN Primary

Addresses

Primary practice location

1690 University Ave W
Suite 450
Saint Paul, MN 55104-3723

Mailing address

1690 University Ave W
Suite 450
Saint Paul, MN 55104-3723
Phone (651) 645-8182

National Provider Directory

National Provider Directory

Locations

1690 University Ave W
Ste 450
Saint Paul, MN 55104
Phone (651) 326-1044

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154341618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1690 UNIVERSITY AVE W",
            "address_2": "SUITE 450",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551043723",
            "telephone_number": "651-645-8182",
            "fax_number": "651-649-3509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1690 UNIVERSITY AVE W",
            "address_2": "SUITE 450",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551043723",
            "telephone_number": "651-645-8182",
            "fax_number": "651-649-3509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADULT AND CHILD ALLERGY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALSH",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "EMMETT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-645-8182",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "MN",
            "license": "342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.