NPIMap

Organization Active NPI

Allergy and Asthma Consultants of the Ozark,LTD

  • Allergy Physician
  • Jefferson City, MO
National Provider Identifier
1164532024
Registry record updated Oct 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
R2F17 Issued in MO
Legal business name
ALLERGY AND ASTHMA CONSULTANTS OF THE OZARK,LTD
Practice address
1233 Jefferson St
Jefferson City, MO 65109-2469
Phone
(573) 634-7000
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2007

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

Authorized official

Name
Mark Lewis Vandewalker, M.D.
Title
Physician
Phone
(573) 634-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207KA0200X R2F17 MO Primary

Addresses

Primary practice location

1233 Jefferson St
Jefferson City, MO 65109-2469

Mailing address

1233 Jefferson St
Jefferson City, MO 65109-2469
Phone (573) 634-7000

National Provider Directory

National Provider Directory
Tax ID family
Allergy and Asthma Consultants6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191369600000",
    "number": "1164532024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1233 JEFFERSON ST",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651092469",
            "telephone_number": "573-634-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 JEFFERSON ST",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651092469",
            "telephone_number": "573-634-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY AND ASTHMA CONSULTANTS OF THE OZARK,LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-10-03",
        "status": "A",
        "authorized_official_last_name": "VANDEWALKER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "LEWIS",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "573-634-7000",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": "MO",
            "license": "R2F17",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2007; 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.