Organization Active NPI

Highlands Allergy & Asthma Center PC

  • Allergy Physician
  • Bristol, TN
National Provider Identifier
1336162908
Registry record updated Apr 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
MD0000017754 Issued in TN
Legal business name
HIGHLANDS ALLERGY & ASTHMA CENTER PC
Practice address
933 Highway 126
Bristol, TN 37620-3310
Phone
(423) 844-7000
Fax
(423) 844-7007
NPI assigned
Jul 25, 2006
Last updated
Apr 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2008

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

Authorized official

Name
Dr. Neil D Wallen, M.D.NPI 1326043373
Title
Physician/Owner
Phone
(423) 844-7000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X MD0000017754 TN Primary

Addresses

Primary practice location

933 Highway 126
Bristol, TN 37620-3310

Mailing address

933 Highway 126
Bristol, TN 37620-3310
Phone (423) 844-7000

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207267200000",
    "number": "1336162908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 HIGHWAY 126",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376203310",
            "telephone_number": "423-844-7000",
            "fax_number": "423-844-7007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 HIGHWAY 126",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376203310",
            "telephone_number": "423-844-7000",
            "fax_number": "423-844-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLANDS ALLERGY & ASTHMA CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2008-04-04",
        "status": "A",
        "authorized_official_last_name": "WALLEN",
        "authorized_official_first_name": "NEIL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "423-844-7000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "TN",
            "license": "MD0000017754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2008; 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.