Allergy & Asthma Associates LLC

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

56408 Issued in GA

Legal business name

ALLERGY & ASTHMA ASSOCIATES LLC

Practice address

3104 Creekside Village Dr NW
Suite 201
Kennesaw, GA 30144-2324

Phone

(770) 529-0460

NPI assigned

May 16, 2008

Last updated

May 16, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lena Buckle

Title

Manager

Phone

(770) 529-0460

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• DR RAPHAEL A BUCKLE Other name

Locations

Practitioners 1

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.

• Raphael A Buckle, MD

  • Pediatrics Physician
  • Amory, MS
  • NPI 1700867074

  Allergy & Immunology

  NPD (past)

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

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210896000000",
    "number": "1184881229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3104 CREEKSIDE VILLAGE DRIVE",
            "address_2": "SUITE 201",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301442334",
            "telephone_number": "770-529-0460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3104 CREEKSIDE VILLAGE DR NW",
            "address_2": "SUITE 201",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301442324",
            "telephone_number": "770-529-0460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY & ASTHMA ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-16",
        "last_updated": "2008-05-16",
        "status": "A",
        "authorized_official_last_name": "BUCKLE",
        "authorized_official_first_name": "LENA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "770-529-0460"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": "GA",
            "license": "56408",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "56408",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE LEGACY NUMBER",
            "identifier": "GRP7462",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1700867074",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "262717777A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DR RAPHAEL A BUCKLE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sadia Mahmood Ali, DPM
• Wendy Daniels Allard, NP-C
• Jessica Brooke Allen
• Kyle Steven Allen, MSN, APRN, FNP-C
• Shakerria Onaisa Allen
• Brooke Alley, DPT
• Houria J Allia, MD
• Allied Neurodiagnostics, LLC
• Aloft Healing Studios, LLC
• Alpha and Omega Rehabilitation Services, Inc.

• Allergy & Immunology Physician in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Allergy & Immunology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; 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.