NPIMap

Organization Active NPI

Allergy Specialists

  • Allergy & Immunology Physician
  • Elm Grove, WI
National Provider Identifier
1245373976
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
43581020 Issued in WI
Legal business name
ALLERGY SPECIALISTS
Practice address
890 Elm Grove Rd
Elm Grove, WI 53122-2528
Phone
(414) 761-7000
Fax
(262) 784-5472
NPI assigned
Feb 14, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ruchir Agrawal, M.D.
Title
Owner
Phone
(414) 761-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 43581020 WI Primary

Addresses

Primary practice location

890 Elm Grove Rd
Elm Grove, WI 53122-2528

Mailing address

2603 W Rawson Ave
Oak Creek, WI 53154-8422
Phone (414) 761-7000

National Provider Directory

National Provider Directory
Tax ID family
Allergy Specialists2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245373976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2603 W RAWSON AVE",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531548422",
            "telephone_number": "414-761-7000",
            "fax_number": "262-784-5472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 ELM GROVE RD",
            "city": "ELM GROVE",
            "state": "WI",
            "postal_code": "531222528",
            "telephone_number": "414-761-7000",
            "fax_number": "262-784-5472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AGRAWAL",
        "authorized_official_first_name": "RUCHIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-761-7000",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "WI",
            "license": "43581020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elm Grove, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.