Organization Active NPI

Ez Allergy LLC

  • Pediatric Allergy/Immunology Physician
  • White Oak, PA
National Provider Identifier
1396284535
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Allergy/Immunology PhysicianTaxonomy code 2080P0201X
License
MD029155E Issued in PA
Legal business name
EZ ALLERGY LLC
Practice address
1514 Lincoln Way Ste 303-304
White Oak, PA 15131-1725
Phone
(724) 655-3000
Fax
(724) 299-3502
NPI assigned
Feb 21, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Authorized official

Name
David P Skoner, M.D.
Title
Ceo/Medical Director
Phone
(724) 655-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Allergy/Immunology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080P0201X MD029155E PA Primary

Addresses

Primary practice location

1514 Lincoln Way Ste 303-304
White Oak, PA 15131-1725

Mailing address

1514 Lincoln Way Ste 303-304
White Oak, PA 15131-1725
Phone (724) 655-3000

National Provider Directory

National Provider Directory

Locations

453 Valley Brook Rd
Ste 700
McMurray, PA 15317
Phone (724) 655-3000

1514 Lincoln Way
Ste 303
White Oak, PA 15131

1514 Lincoln Way
Ste 303304
White Oak, PA 15131
Phone (724) 655-3000

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": "1487635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705881600000",
    "number": "1396284535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 LINCOLN WAY STE 303-304",
            "city": "WHITE OAK",
            "state": "PA",
            "postal_code": "151311725",
            "telephone_number": "724-655-3000",
            "fax_number": "724-299-3502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 LINCOLN WAY STE 303-304",
            "city": "WHITE OAK",
            "state": "PA",
            "postal_code": "151311725",
            "telephone_number": "724-655-3000",
            "fax_number": "724-299-3502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EZ ALLERGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-21",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A",
        "authorized_official_last_name": "SKONER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CEO/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "724-655-3000",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080P0201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Allergy/Immunology",
            "state": "PA",
            "license": "MD029155E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Oak, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; 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.