NPIMap

Organization Active NPI

William Storms Allergy Clinic PC

  • Allergy & Immunology Physician
  • Colorado Springs, CO
National Provider Identifier
1184635914
Registry record updated Sep 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
Legal business name
WILLIAM STORMS ALLERGY CLINIC PC
Practice address
1625 Medical Center Point
Suite 190
Colorado Springs, CO 80907
Phone
(719) 955-6000
Fax
(719) 955-9595
NPI assigned
Aug 10, 2006
Last updated
Sep 24, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2020

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

Authorized official

Name
Linda Schutt
Title
Credentials Specialist
Phone
(512) 548-0988

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X NU Primary

Addresses

Primary practice location

1625 Medical Center Point
Suite 190
Colorado Springs, CO 80907

Mailing address

5929 Balcones Dr Ste 200
Austin, TX 78731-4280
Phone (719) 955-6000

Other identifiers 1

IdentifierTypeStateIssuer
50227378MedicaidCO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050801001228 CO Part B Supplier - Clinic/Group Practice 7810925781 Receives reassigned benefits from 16 practitioners
4 other NPIs on this enrollment
Practice locations: Lakewood, CO; Pueblo, CO; Colorado Springs, CO; Centennial, CO; Castle Rock, CO

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

5929 Balcones Dr
Ste 200
Austin, TX 78731
Phone (512) 222-5856

Practitioners & affiliated clinicians

Practitioners 24

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.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600905600000",
    "number": "1184635914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5929 BALCONES DR STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314280",
            "telephone_number": "719-955-6000",
            "fax_number": "855-828-0878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 MEDICAL CENTER POINT",
            "address_2": "SUITE 190",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80907",
            "telephone_number": "719-955-6000",
            "fax_number": "719-955-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM STORMS ALLERGY CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A",
        "authorized_official_last_name": "SCHUTT",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "CREDENTIALS SPECIALIST",
        "authorized_official_telephone_number": "512-548-0988"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50227378",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; 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.