Central Indiana Allergy LLC

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

01048040 Issued in IN

Legal business name

CENTRAL INDIANA ALLERGY LLC

Practice address

965 Emerson Pkwy
Suite B
Greenwood, IN 46143-6273

Phone

(317) 865-0055

Fax

(317) 865-0056

NPI assigned

Sep 14, 2006

Last updated

Aug 3, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Andrea Stewart

Title

Billing

Phone

(317) 865-0055

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438560000000",
    "number": "1497850168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 EMERSON PKWY",
            "address_2": "SUITE B",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461436273",
            "telephone_number": "317-865-0055",
            "fax_number": "317-865-0056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "965 EMERSON PKWY",
            "address_2": "SUITE B",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461436273",
            "telephone_number": "317-865-0055",
            "fax_number": "317-865-0056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL INDIANA ALLERGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2015-08-03",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "317-865-0055",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "IN",
            "license": "01048040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1134121569",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1386626927",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1700101102",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Center Grove Dental, LLC (Center Grove Dental)
• Center Grove Eye Care, P.C.
• Central Indiana Allergy LLC
• Central Indiana Mental Health Partners, LLC
• Central Indiana Vascular Care, LLC.
• Megan Bridget Certo, PT
• Sophia Chamberlain

• Allergy & Immunology Physician in Greenwood, IN
• Providers in Greenwood, IN by specialty
• Allergy & Immunology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.