Allergy Associates PC

Primary specialty

Allergy PhysicianTaxonomy code 207KA0200X

License

20556 Issued in IA

Legal business name

ALLERGY ASSOCIATES PC

Practice address

1601 First Ave SE
Cedar Rapids, IA 52402-5454

Phone

(319) 364-5191

Fax

(319) 364-1511

NPI assigned

Oct 23, 2006

Last updated

Aug 22, 2020By 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

Mrs. Pattaya Kullavan, MD

Title

President

Phone

(319) 364-5191

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15808/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568545440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 1ST AVENUE SE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524025454",
            "telephone_number": "319-364-5191",
            "fax_number": "319-364-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 FIRST AVE SE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524025454",
            "telephone_number": "319-364-5191",
            "fax_number": "319-364-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KULLAVAN",
        "authorized_official_first_name": "PATTAYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "319-364-5191",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "IA",
            "license": "20556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015446",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Allergy Physician in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Allergy Physician in Iowa

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.