Organization Active NPI

Allergy Asthma Associates PA

  • Allergy & Immunology Physician
  • St Petersburg, FL
National Provider Identifier
1316167166
Registry record updated Aug 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
ME78703 Issued in FL
Legal business name
ALLERGY ASTHMA ASSOCIATES PA
Practice address
333 Dr ML King Jr St N
St Petersburg, FL 33701-2717
Phone
(727) 825-0111
Fax
(727) 825-0011
NPI assigned
Apr 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2009

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

Authorized official

Name
Nathan TangNPI 1871504746
Title
President
Phone
(727) 825-0111

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X ME78703 FL Primary

Addresses

Primary practice location

333 Dr ML King Jr St N
St Petersburg, FL 33701-2717

Mailing address

333 Dr ML King Jr St N
St Petersburg, FL 33701-2717
Phone (727) 825-0111

Other identifiers 1

IdentifierTypeStateIssuer
278302900MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070929000125 FL Part B Supplier - Clinic/Group Practice 7810082294 Receives reassigned benefits from 3 practitioners
Practice locations: St Petersburg, FL

National Provider Directory

National Provider Directory

Locations

1201 5th Ave N
Ste 303
St Petersburg, FL 33705
Phone (727) 820-7661

333 Mlk Jr St N
St Petersburg, FL 33701
Phone (727) 823-1111

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250726400000",
    "number": "1316167166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 DR ML KING JR ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337012717",
            "telephone_number": "727-825-0111",
            "fax_number": "727-825-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 DR ML KING JR ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337012717",
            "telephone_number": "727-825-0111",
            "fax_number": "727-825-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY ASTHMA ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2009-08-20",
        "status": "A",
        "authorized_official_last_name": "TANG",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-825-0111"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "FL",
            "license": "ME78703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "278302900",
            "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 Aug 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.