NPIMap

Organization Active NPI

Allergy, Asthma & Sinus Care Center, LLC

Doing business as Allergy, Asthma & Food Centers of St. Louis

  • Allergy Physician
  • Saint Louis, MO
National Provider Identifier
1417034695
Registry record updated Mar 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
R5G81 Issued in MO
Legal business name
ALLERGY, ASTHMA & SINUS CARE CENTER, LLC
Doing business as
Allergy, Asthma & Food Centers of St. Louis
Practice address
9701 Landmark Parkway Dr Ste 207
Saint Louis, MO 63127-1665
Phone
(314) 849-8700
NPI assigned
Nov 1, 2006
Last updated
Mar 18, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2020

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

Authorized official

Name
Michael R Borts, MDNPI 1912991753
Title
President
Phone
(314) 849-8700

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)CodeLicenseStatePrimary
Allergy Physician 207KA0200X R5G81 MO Primary

Addresses

Primary practice location

9701 Landmark Parkway Dr Ste 207
Saint Louis, MO 63127-1665

Mailing address

9701 Landmark Parkway Dr Ste 207
Saint Louis, MO 63127-1665
Phone (314) 849-8700

Other practice location 1

12818 Tesson Ferry Rd
Suite 103
Saint Louis, MO 63128-2945
Phone (314) 849-8700

Other names 1

  • ALLERGY, ASTHMA & FOOD CENTERS OF ST. LOUIS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070301000043 MO Part B Supplier - Clinic/Group Practice 5092817502 Receives reassigned benefits from 15 practitioners
Practice locations: Chesterfield, MO; Saint Louis, MO
O20200309001635 IL Part B Supplier - Clinic/Group Practice 5092817502 Receives reassigned benefits from 7 practitioners
Practice locations: Swansea, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D2159999Allergy, Asthma & Sinus Care Center9701 Landmark Parkway Drive Ste 207, Saint Louis, MO 63127Certificate of waiverJan 1, 2027

National Provider Directory

National Provider Directory

Locations

16216 Baxter Rd
Ste 299
Chesterfield, MO 63017
Phone (636) 530-9999

12818 Tesson Ferry Rd
Ste 103
Saint Louis, MO 63128
Phone (314) 650-9537

9701 Landmark Parkway Dr
Ste 207
Saint Louis, MO 63127
Phone (314) 842-4802

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584489600000",
    "number": "1417034695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9701 LANDMARK PARKWAY DR STE 207",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631271665",
            "telephone_number": "314-849-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9701 LANDMARK PARKWAY DR STE 207",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631271665",
            "telephone_number": "314-849-8700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12818 Tesson Ferry Rd",
            "address_2": "Suite 103",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631282945",
            "country_code": "US",
            "telephone_number": "314-849-8700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALLERGY, ASTHMA & SINUS CARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A",
        "authorized_official_last_name": "BORTS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-849-8700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "MO",
            "license": "R5G81",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALLERGY, ASTHMA & FOOD CENTERS OF ST. LOUIS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.