Allergy Clinic,P.a.

Primary specialty

Allergy PhysicianTaxonomy code 207KA0200X

Legal business name

ALLERGY CLINIC,P.A.

Practice address

311 E Monroe Ave
Jonesboro, AR 72401-2923

Phone

(870) 972-1667

Fax

(870) 972-0466

NPI assigned

Feb 19, 2010

Organization subpart

No

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

Authorized official

Name

Scot J. Snodgrass, M.D.

Title

Phyisican

Phone

(870) 972-1667

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Venusa Phomakay, M.D.

  • Allergy & Immunology Physician
  • Memphis, TN
  • NPI 1578917233
  NPD (past)

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

{
    "created_epoch": "1266537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266537600000",
    "number": "1255653192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 E MONROE AVE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724012923",
            "telephone_number": "870-972-1667",
            "fax_number": "870-972-0466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 E MONROE AVE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724012923",
            "telephone_number": "870-972-1667",
            "fax_number": "870-972-0466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY CLINIC,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-19",
        "last_updated": "2010-02-19",
        "status": "A",
        "authorized_official_last_name": "SNODGRASS",
        "authorized_official_first_name": "SCOT",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PHYISICAN",
        "authorized_official_telephone_number": "870-972-1667",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116452001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "53369",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert B Allen, M.D.
• Samuel Luke Allen
• Stacy Allen
• Terry Scott Allen
• Michael A Allensworth
• John William Allgood Jr., M.D.
• Jennifer Allison
• Shatorri Allison
• Taylor Alloway, M.D.
• Mohammad Saleh Alnabulsi, MD

• All providers in Jonesboro, AR
• Allergy Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2010; 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.