Organization Active NPI

Allergy Associates

  • Allergy & Immunology (Internal Medicine) Physician
  • St Petersburg, FL
National Provider Identifier
1295996692
Registry record updated Jun 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology (Internal Medicine) PhysicianTaxonomy code 207RA0201X
License
ME93707 Issued in FL
Legal business name
ALLERGY ASSOCIATES
Practice address
6294 1St Ave N
St Petersburg, FL 33710-8414
Phone
(727) 345-1900
Fax
(727) 347-5273
NPI assigned
Jun 19, 2008
Last updated
Jun 11, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2013

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

Authorized official

Name
Dr. Stephen J Klemawesch, MDNPI 1568467785
Title
President
Phone
(727) 345-1900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X ME0044273 FL
Allergy & Immunology (Internal Medicine) Physician 207RA0201X ME93707 FL Primary

Addresses

Primary practice location

6294 1St Ave N
St Petersburg, FL 33710-8414

Mailing address

6294 1 Ave N
St. Petersburg, FL 33710-8414
Phone (727) 345-1900

Other identifiers 1

IdentifierTypeStateIssuer
068828200MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091231000340 FL Part B Supplier - Clinic/Group Practice 8729129507 Receives reassigned benefits from 2 practitioners
Practice locations: St Petersburg, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0292253Allergy Associates6294 1St Ave N, Saint Petersburg, FL 33710Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

6294 1st Ave N
St Petersburg, FL 33710
Phone (727) 345-1900

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370908800000",
    "number": "1295996692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6294 1 AVE N",
            "city": "ST. PETERSBURG",
            "state": "FL",
            "postal_code": "337108414",
            "telephone_number": "727-345-1900",
            "fax_number": "727-347-5273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6294 1ST AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337108414",
            "telephone_number": "727-345-1900",
            "fax_number": "727-347-5273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-19",
        "last_updated": "2013-06-11",
        "status": "A",
        "authorized_official_last_name": "KLEMAWESCH",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-345-1900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "FL",
            "license": "ME0044273",
            "primary": false
        },
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "FL",
            "license": "ME93707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "068828200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.