Advanced Allergy and Asthma Physicians PLLC

Primary specialty

Allergy PhysicianTaxonomy code 207KA0200X

Legal business name

ADVANCED ALLERGY AND ASTHMA PHYSICIANS PLLC

Doing business as

Advanced Allergy and Asthma

Practice address

500 S University Ave Ste 215
Little Rock, AR 72205-5304

Phone

(501) 420-1085

Fax

(501) 420-1457

NPI assigned

Jun 12, 2018

Last updated

Jun 12, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Donna Melissa Graham, MDNPI 1003896580

Title

Owner

Phone

(501) 420-1085

Specialties & licenses 1

Addresses

Other names 1

• Advanced Allergy and Asthma Doing business as

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

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.

• Donna Melissa Graham, M.D.

  • Allergy & Immunology Physician
  • Little Rock, AR
  • NPI 1003896580
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528761600000",
    "number": "1356834550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S UNIVERSITY AVE STE 215",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055304",
            "telephone_number": "501-420-1085",
            "fax_number": "501-420-1457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S UNIVERSITY AVE STE 215",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055304",
            "telephone_number": "501-420-1085",
            "fax_number": "501-420-1457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED ALLERGY AND ASTHMA PHYSICIANS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-12",
        "last_updated": "2018-06-12",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-420-1085",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Allergy and Asthma",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Allergy Physician in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Allergy Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2018; 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.