NPIMap

Organization Active NPI

Allergy,Asthma and Clinical Immunology Specialists, P.C.

  • Specialist
  • Huntsville, AL
National Provider Identifier
1184683021
Registry record updated Jun 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
20009 Issued in AL
Legal business name
ALLERGY,ASTHMA AND CLINICAL IMMUNOLOGY SPECIALISTS, P.C.
Practice address
4021 Balmoral Dr SW
Huntsville, AL 35801-6403
Phone
(256) 382-0070
Fax
(256) 382-0089
NPI assigned
Mar 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2012

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

Authorized official

Name
Mr. Martin Beck
Title
Administrator
Phone
(256) 382-0070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 20009 AL Primary

Addresses

Primary practice location

4021 Balmoral Dr SW
Huntsville, AL 35801-6403

Mailing address

4021 Balmoral Dr SW
Huntsville, AL 35801-6403
Phone (256) 382-0070

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040623000801 AL Part B Supplier - Clinic/Group Practice 1456336361 Receives reassigned benefits from 6 practitioners
Practice locations: Huntsville, AL

National Provider Directory

National Provider Directory

Locations

4021 Balmoral Dr SW
Huntsville, AL 35801
Phone (256) 382-0070

Practitioners & affiliated clinicians

Practitioners 6

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": "1142812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340841600000",
    "number": "1184683021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4021 BALMORAL DR SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016403",
            "telephone_number": "256-382-0070",
            "fax_number": "256-382-0089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4021 BALMORAL DR SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016403",
            "telephone_number": "256-382-0070",
            "fax_number": "256-382-0089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY,ASTHMA AND CLINICAL IMMUNOLOGY SPECIALISTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-20",
        "last_updated": "2012-06-28",
        "status": "A",
        "authorized_official_last_name": "BECK",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "256-382-0070",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AL",
            "license": "20009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2012; 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.