Organization Active NPI

Valley Allergy Clinic, P.C.

  • Allergy Physician
  • Saginaw, MI
National Provider Identifier
1356435978
Registry record updated Jul 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
Legal business name
VALLEY ALLERGY CLINIC, P.C.
Practice address
3210 Hallmark Court
Saginaw, MI 48603-2108
Phone
(989) 799-9490
Fax
(989) 799-4639
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2008

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

Authorized official

Name
Dr. Timothy Alan Smith, M.D.
Title
President
Phone
(989) 799-9490

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207KA0200X Primary

Addresses

Primary practice location

3210 Hallmark Court
Saginaw, MI 48603-2108

Mailing address

3210 Hallmark Court
Saginaw, MI 48603-2108
Phone (989) 799-9490

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040612000326 MI Part B Supplier - Clinic/Group Practice 6709869332 Receives reassigned benefits from 2 practitioners
Practice locations: Bay City, MI; Frankenmuth, MI; Saginaw, MI

National Provider Directory

National Provider Directory

Locations

200 S Wenona St
Ste 180
Bay City, MI 48706
Phone (989) 892-0311

600 N Main St
Ste 320
Frankenmuth, MI 48734
Phone (989) 799-9490

3210 Hallmark Ct
Saginaw, MI 48603
Phone (517) 799-9490

Practitioners & affiliated clinicians

Practitioners 2

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": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1356435978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3210 HALLMARK COURT",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486032108",
            "telephone_number": "989-799-9490",
            "fax_number": "989-799-4639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3210 HALLMARK COURT",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486032108",
            "telephone_number": "989-799-9490",
            "fax_number": "989-799-4639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY ALLERGY CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "989-799-9490",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; 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.