Organization Active NPI

Cincinnati Allergy Associates, LLC

  • Allergy & Immunology (Internal Medicine) Physician
  • Cincinnati, OH
National Provider Identifier
1336787381
Registry record updated Apr 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology (Internal Medicine) PhysicianTaxonomy code 207RA0201X
Legal business name
CINCINNATI ALLERGY ASSOCIATES, LLC
Practice address
10495 Montgomery Rd Ste 24
Cincinnati, OH 45242-4420
Phone
(513) 791-6006
NPI assigned
Dec 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2020

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

Authorized official

Name
Dr. Heather Nicole Hartman, MDNPI 1558504118
Title
Member
Phone
(517) 745-0389

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 & Immunology (Internal Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RA0201X Primary
Pediatric Allergy/Immunology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2080P0201X

Addresses

Primary practice location

10495 Montgomery Rd Ste 24
Cincinnati, OH 45242-4420

Mailing address

10480 Carriage TRL
Cincinnati, OH 45242-4539
Phone (517) 745-0389

Other practice location 1

5757 Glenway Ave
Cincinnati, OH 45238-2105
Phone (513) 451-6006

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200527001621 OH Part B Supplier - Clinic/Group Practice 4587085659 Receives reassigned benefits from 2 practitioners
Practice locations: Cincinnati, OH; Montgomery, OH

National Provider Directory

National Provider Directory

Locations

7074 Harrison Ave
Ste 10
Cincinnati, OH 45247
Phone (513) 791-6006

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21791/brand/1/csg/1/fhir/r4

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": "1576713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587081600000",
    "number": "1336787381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10480 CARRIAGE TRL",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452424539",
            "telephone_number": "517-745-0389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10495 MONTGOMERY RD STE 24",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452424420",
            "telephone_number": "513-791-6006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5757 Glenway Ave",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452382105",
            "country_code": "US",
            "telephone_number": "513-451-6006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CINCINNATI ALLERGY ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-19",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A",
        "authorized_official_last_name": "HARTMAN",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "517-745-0389",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RA0201X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2080P0201X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Allergy/Immunology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2020; 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.