Organization Active NPI

Allergy & Asthma Clinic of Alexandria

Doing business as Louisiana Allergy & Asthma Specialists

  • Specialist
  • Alexandria, LA
National Provider Identifier
1508862673
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
ALLERGY & ASTHMA CLINIC OF ALEXANDRIA
Doing business as
Louisiana Allergy & Asthma Specialists
Practice address
201 Pecan Park Ave
Alexandria, LA 71303-3361
Phone
(318) 445-6221
Fax
(318) 445-5399
NPI assigned
Jun 23, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Benjamin B. Close, M.D.NPI 1730185802
Title
President
Phone
(318) 445-6221

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
Specialist 174400000X NU Primary

Addresses

Primary practice location

201 Pecan Park Ave
Alexandria, LA 71303-3361

Mailing address

201 Pecan Park Ave
Alexandria, LA 71303-3361
Phone (318) 445-6221

Other names 1

  • Louisiana Allergy & Asthma Specialists Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101004000862 LA Part B Supplier - Clinic/Group Practice 0648462044 Receives reassigned benefits from 3 practitioners
Practice locations: Alexandria, LA

National Provider Directory

National Provider Directory

Locations

201 Pecan Park Ave
Alexandria, LA 71303
Phone (318) 445-6221

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/fbc8c866-997f-48a9-94e2-a511f307192d/

Practitioners & affiliated clinicians

Practitioners 4

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": "1119484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508862673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 PECAN PARK AVE",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033361",
            "telephone_number": "318-445-6221",
            "fax_number": "318-445-5399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 PECAN PARK AVE",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033361",
            "telephone_number": "318-445-6221",
            "fax_number": "318-445-5399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY & ASTHMA CLINIC OF ALEXANDRIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLOSE",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-445-6221",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Louisiana Allergy & Asthma Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alexandria, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.