Organization Active NPI

Osher Chaim PLLC

Doing business as Clear Allergy Immunology Laser Center

  • Clinical & Laboratory Immunology (Allergy & Immunology) Physician
  • Plano, TX
National Provider Identifier
1427353846
Registry record updated Feb 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical & Laboratory Immunology (Allergy & Immunology) PhysicianTaxonomy code 207KI0005X
License
N6414 Issued in TX
Legal business name
OSHER CHAIM PLLC
Doing business as
Clear Allergy Immunology Laser Center
Practice address
5904 Chapel Hill Blvd
Suite 103
Plano, TX 75093-5925
Phone
(972) 473-2532
NPI assigned
Jan 15, 2011
Last updated
Feb 15, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2013

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

Authorized official

Name
Mr. Eric Rephael Kavosh, MDNPI 1164683249
Title
Owner
Phone
(972) 473-2532

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical & Laboratory Immunology (Allergy & Immunology) Physician 207KI0005X N6414 TX Primary
Internal Medicine Physician 207R00000X N6414 TX

Addresses

Primary practice location

5904 Chapel Hill Blvd
Suite 103
Plano, TX 75093-5925

Mailing address

5904 Chapel Hill Blvd
Suite 103
Plano, TX 75093-5925
Phone (972) 473-2532

Other identifiers 1

IdentifierTypeStateIssuer
0092WKOtherTXBCBS

Other names 1

  • Clear Allergy Immunology Laser Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110517000539 TX Part B Supplier - Clinic/Group Practice 8921284464 Receives reassigned benefits from 1 practitioner
Practice locations: Plano, TX

National Provider Directory

National Provider Directory

Locations

5904 Chapel Hill Blvd
Ste 103
Plano, TX 75093
Phone (972) 473-2532

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1295049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360886400000",
    "number": "1427353846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5904 CHAPEL HILL BLVD",
            "address_2": "SUITE 103",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935925",
            "telephone_number": "972-473-2532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5904 CHAPEL HILL BLVD",
            "address_2": "SUITE 103",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935925",
            "telephone_number": "972-473-2532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSHER CHAIM PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-15",
        "last_updated": "2013-02-15",
        "status": "A",
        "authorized_official_last_name": "KAVOSH",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "REPHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-473-2532",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207KI0005X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Clinical & Laboratory Immunology",
            "state": "TX",
            "license": "N6414",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N6414",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0092WK",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clear Allergy Immunology Laser Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2013; 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.

Verify at the official NPI Registry.