All Seasons Allergy and Asthma Center, P.a.

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

OS9224 Issued in FL

Legal business name

ALL SEASONS ALLERGY AND ASTHMA CENTER, P.A.

Practice address

362 Beal Pkwy NW Ste 105
Fort Walton Beach, FL 32548-3926

Phone

(850) 862-3020

Fax

(850) 862-1363

NPI assigned

Jan 24, 2007

Last updated

Oct 3, 2017By 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

Dr. Justin Clark, D.O.NPI 1538129085

Title

Director

Phone

(850) 862-3020

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

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.

• Justin Clark, D.O.

  • Allergy & Immunology Physician
  • Fort Walton Beach, FL
  • NPI 1538129085
  Medicare reassignment Care Compare group NPD Authorized official
• Chelsea Lynn Russell

  • Physician Assistant
  • Fort Walton Beach, FL
  • NPI 1962997650
  Medicare reassignment Care Compare group
• Crystal Bonanni, PA-C

  • Medical Physician Assistant
  • Pensacola, FL
  • NPI 1164721221
  Medicare reassignment

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506988800000",
    "number": "1578618104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "362 BEAL PKWY NW STE 105",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325483926",
            "telephone_number": "850-862-3020",
            "fax_number": "850-862-1363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "362 BEAL PKWY NW STE 105",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325483926",
            "telephone_number": "850-862-3020",
            "fax_number": "850-862-1363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL SEASONS ALLERGY AND ASTHMA CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2017-10-03",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "850-862-3020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "FL",
            "license": "OS9224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noor Bashar Albashir, PA-C
• Albertsons LLC (Savon Pharmacy)
• Aleighsha Webber Counseling, PLLC (Still I Rise Counseling)
• Lilian Therezinha Alevato, M.D.
• Julia Marie Alfonso
• Christina Rachel Allaire
• Logan Chadwick Allen, REGISTERED NURSE
• Marla J Allen
• Theresa D Allen, RN
• Carmen Alston

• Allergy & Immunology Physician in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Allergy & Immunology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.