Allergy Asthma & Immunology Services, LLC

Primary specialty

Clinical & Laboratory Immunology (Allergy & Immunology) PhysicianTaxonomy code 207KI0005X

License

36946 Issued in MO

Legal business name

ALLERGY ASTHMA & IMMUNOLOGY SERVICES, LLC

Practice address

1735 Elm Court
Jefferson City, MO 65101-4129

Phone

(573) 638-2012

Fax

(573) 761-4249

NPI assigned

Nov 29, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Stanley Raymond Horner, D.O.

Title

Owner/Physician

Phone

(573) 638-2012

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421884800000",
    "number": "1215119508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 ELM COURT",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651014129",
            "telephone_number": "573-638-2012",
            "fax_number": "573-761-4249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1735 ELM COURT",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651014129",
            "telephone_number": "573-638-2012",
            "fax_number": "573-761-4249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY ASTHMA & IMMUNOLOGY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-29",
        "last_updated": "2015-01-22",
        "status": "A",
        "authorized_official_last_name": "HORNER",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "573-638-2012",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207KI0005X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Allergy & Immunology, Clinical & Laboratory Immunology",
            "state": "MO",
            "license": "36946",
            "primary": true
        },
        {
            "code": "207KI0005X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Allergy & Immunology, Clinical & Laboratory Immunology",
            "state": "MO",
            "license": "0340248-22",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Allergy & Immunology Physician in Jefferson City, MO
• Providers in Jefferson City, MO by specialty
• Allergy & Immunology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; 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.