Organization Active NPI

Pulmonary Asthma & Allergy Consults

  • Pulmonary Disease Physician
  • Fort Wayne, IN
National Provider Identifier
1447229380
Registry record updated Aug 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
PULMONARY ASTHMA & ALLERGY CONSULTS
Practice address
2510 E Dupont Rd
Ste 200
Fort Wayne, IN 46825
Phone
(260) 489-6969
Fax
(260) 490-3939
NPI assigned
Mar 14, 2006
Last updated
Aug 8, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2007

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

Authorized official

Name
Dr. Pushpom James, MDNPI 1790744035
Title
Medical Doctor
Phone
(260) 489-6969

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology (Internal Medicine) Physician 207RA0201X
Geriatric Medicine (Internal Medicine) Physician 207RG0300X
Pulmonary Disease Physician 207RP1001X Primary
Pediatric Allergy/Immunology Physician 2080P0201X

Addresses

Primary practice location

2510 E Dupont Rd
Ste 200
Fort Wayne, IN 46825

Mailing address

2510 E Dupont Rd
Ste 200
Fort Wayne, IN 46825
Phone (260) 489-6969

Other identifiers 1

IdentifierTypeStateIssuer
200062630AMedicaidIN

National Provider Directory

National Provider Directory

Locations

2510 E DuPont Rd
#20
Fort Wayne, IN 46825
Phone (219) 489-6969

2510 E DuPont Rd
Ste 200
Fort Wayne, IN 46825
Phone (260) 432-4913

Practitioners & affiliated clinicians

Practitioners 2

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": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186531200000",
    "number": "1447229380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 E DUPONT RD",
            "address_2": "STE 200",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "46825",
            "telephone_number": "260-489-6969",
            "fax_number": "260-490-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 E DUPONT RD",
            "address_2": "STE 200",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "46825",
            "telephone_number": "260-489-6969",
            "fax_number": "260-490-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULMONARY ASTHMA & ALLERGY CONSULTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2007-08-08",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "PUSHPOM",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "260-489-6969",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2080P0201X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Allergy/Immunology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200062630A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2007; 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.