NPIMap

Organization Active NPI

Alabama Allergy & Asthma Care LLC

  • Allergy & Immunology Physician
  • Madison, AL
National Provider Identifier
1346695541
Registry record updated Apr 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
00025205 Issued in AL
Legal business name
ALABAMA ALLERGY & ASTHMA CARE LLC
Practice address
101 Westover Cir
Suite C
Madison, AL 35758-4900
Phone
(256) 890-0331
Fax
(256) 325-1189
NPI assigned
Apr 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2016

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

Authorized official

Name
Dr. Shiva Krishna, MDNPI 1952373805
Title
Physician
Phone
(256) 890-0331

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 00025205 AL Primary

Addresses

Primary practice location

101 Westover Cir
Suite C
Madison, AL 35758-4900

Mailing address

101 Westover Cir
Suite C
Madison, AL 35758-4900
Phone (256) 890-0331

Other identifiers 3

IdentifierTypeStateIssuer
10270G0894OtherGROUP PTAN GIVEN BY MEDICARE
102I038525OtherPTAN GIVEN BY MEDICARE
182367MedicaidAL

Other names 1

  • Alabama Allergy & Asthma Care Former legal business name

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.

NPI Registry JSON

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

{
    "created_epoch": "1461628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461628800000",
    "number": "1346695541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 WESTOVER CIR",
            "address_2": "SUITE C",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357584900",
            "telephone_number": "256-890-0331",
            "fax_number": "256-325-1189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 WESTOVER CIR",
            "address_2": "SUITE C",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357584900",
            "telephone_number": "256-890-0331",
            "fax_number": "256-325-1189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALABAMA ALLERGY & ASTHMA CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-26",
        "last_updated": "2016-04-26",
        "status": "A",
        "authorized_official_last_name": "KRISHNA",
        "authorized_official_first_name": "SHIVA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "256-890-0331",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "AL",
            "license": "00025205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN  GIVEN BY MEDICARE",
            "identifier": "10270G0894",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN GIVEN BY MEDICARE",
            "identifier": "102I038525",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182367",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alabama Allergy & Asthma Care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Madison, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2016; 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.