Organization Active NPI

Certified Allergy, Asthma, and Immunology Specialists

  • Allergy & Immunology Physician
  • Enid, OK
National Provider Identifier
1386035285
Registry record updated Apr 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
29671 Issued in OK
Legal business name
CERTIFIED ALLERGY, ASTHMA, AND IMMUNOLOGY SPECIALISTS
Practice address
2821 N Van Buren St
Enid, OK 73703-1729
Phone
(580) 213-9799
Fax
(580) 234-2474
NPI assigned
Feb 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2015

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

Authorized official

Name
Dr. Timothy D Trojan, M.D.
Title
Owner
Phone
(580) 213-9799

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X 29671 OK Primary

Addresses

Primary practice location

2821 N Van Buren St
Enid, OK 73703-1729

Mailing address

2821 N Van Buren St
Enid, OK 73703-1729
Phone (580) 213-9799

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1423699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430179200000",
    "number": "1386035285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2821 N VAN BUREN ST",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737031729",
            "telephone_number": "580-213-9799",
            "fax_number": "580-234-2474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 N VAN BUREN ST",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737031729",
            "telephone_number": "580-213-9799",
            "fax_number": "580-234-2474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CERTIFIED ALLERGY, ASTHMA, AND IMMUNOLOGY SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-12",
        "last_updated": "2015-04-28",
        "status": "A",
        "authorized_official_last_name": "TROJAN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-213-9799",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "OK",
            "license": "29671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enid, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2015; 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.