NPIMap

Organization Active NPI

Allergy and Asthma Clinic Inc

  • Allergy & Immunology Physician
  • Lima, OH
National Provider Identifier
1376738013
Registry record updated Jan 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
35035640 Issued in OH
Legal business name
ALLERGY AND ASTHMA CLINIC INC
Practice address
528 W Market St
Suite 120
Lima, OH 45801-4762
Phone
(419) 227-4602
Fax
(419) 221-1025
NPI assigned
Sep 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2012

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

Authorized official

Name
Dr. Ramachandra K Pudupakkam, MD
Title
President
Phone
(419) 227-4602

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X 35035640 OH Primary

Addresses

Primary practice location

528 W Market St
Suite 120
Lima, OH 45801-4762

Mailing address

528 W Market St
Suite 120
Lima, OH 45801-4762
Phone (419) 227-4602

Other identifiers 2

IdentifierTypeStateIssuer
000000514711OtherANTHEM BC/BS
2041418MedicaidOH

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": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325635200000",
    "number": "1376738013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 W MARKET ST",
            "address_2": "SUITE 120",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458014762",
            "telephone_number": "419-227-4602",
            "fax_number": "419-221-1025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 W MARKET ST",
            "address_2": "SUITE 120",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458014762",
            "telephone_number": "419-227-4602",
            "fax_number": "419-221-1025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY AND ASTHMA CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2012-01-04",
        "status": "A",
        "authorized_official_last_name": "PUDUPAKKAM",
        "authorized_official_first_name": "RAMACHANDRA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-227-4602",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "OH",
            "license": "35035640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "000000514711",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2041418",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2012; 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.