Active NPI
Asthma & Allergy Center
- Allergy & Immunology Physician
- Monroe, LA
National Provider Identifier
1376660522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 12870R
- Legal business name
- ASTHMA & ALLERGY CENTER
- Doing business as
- Asthma & Allergy Center
- Practice address
- 2908 Evangeline St
Monroe, LA 71201-3724 - Phone
- (318) 398-7100
- Fax
- (318) 398-7110
- NPI assigned
- Mar 23, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Benjamin Iyiola Oyefara, M.D.
- Title
- President&Medical Director
- Phone
- (318) 398-7100
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 12870R | LA | Primary |
Addresses
Primary practice location
2908 Evangeline St
Monroe, LA 71201-3724
Mailing address
2908 Evangeline St
Monroe, LA 71201-3724
Phone (318) 398-7100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548316 | Medicaid | LA |
Other names 1
- ASTHMA & ALLERGY CENTER
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
102 S Washington St
Bastrop, LA 71220
301 Hall St
Monroe, LA 71201
Phone (318) 398-7100
2908 Evangeline St
Monroe, LA 71201
Phone (318) 398-7100
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Allergy & Immunology Physician
- Monroe, LA
- NPI 1285660589
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1376660522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2908 EVANGELINE ST",
"city": "MONROE",
"state": "LA",
"postal_code": "712013724",
"telephone_number": "318-398-7100",
"fax_number": "318-398-7110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2908 EVANGELINE ST",
"city": "MONROE",
"state": "LA",
"postal_code": "712013724",
"telephone_number": "318-398-7100",
"fax_number": "318-398-7110"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASTHMA & ALLERGY CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-23",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "OYEFARA",
"authorized_official_first_name": "BENJAMIN",
"authorized_official_middle_name": "IYIOLA",
"authorized_official_title_or_position": "PRESIDENT&MEDICAL DIRECTOR",
"authorized_official_telephone_number": "318-398-7100",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Allergy & Immunology",
"state": "LA",
"license": "12870R",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1548316",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ASTHMA & ALLERGY CENTER",
"code": "3",
"type": "Doing Business As"
}
]
}
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- Assoc for Retarded Citizens Ouachita (Arco)
- Assoc for Retarded Citizens Ouachita (ARCO, A Community Resource)
- Assurant Healthcare Staffing, Inc.
- Amber Aswell
- At Home Assisted Care LLC
- At Home Assisted Care, LLC
- At Home Assisted Care,LLC
- At Home Assisted Care,LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.