Allergycorp Group, LLC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

ALLERGYCORP GROUP, LLC

Practice address

5409 W Friendly Ave
Greensboro, NC 27410-4209

Phone

(866) 250-7400

NPI assigned

Dec 7, 2015

Last updated

Dec 21, 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

Dr. Dimitri Zivko Pitovski, M.DNPI 1588034144

Title

Physician/ Ceo

Phone

(866) 250-7400

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

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.

• Dimitri Zivko Pitovski, MD

  • Otolaryngology Physician
  • Wilmington, NC
  • NPI 1588034144

  Allergy & Immunology

  Medicare reassignment NPD Authorized official
• Jamie Shepard Hamm, NP

  • Nurse Practitioner
  • Wilmington, NC
  • NPI 1932540051
  Medicare reassignment
• Garry Michael Summer, M. D.

  • Family Medicine Physician
  • Mayodan, NC
  • NPI 1346219722
  NPD
• Leigh Ringer Summer, M.D.

  • Family Medicine Physician
  • Lewisville, NC
  • NPI 1417914581
  NPD

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

{
    "created_epoch": "1449446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450656000000",
    "number": "1609241322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5409 W FRIENDLY AVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274104209",
            "telephone_number": "866-250-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5409 W FRIENDLY AVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274104209",
            "telephone_number": "866-250-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGYCORP GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-07",
        "last_updated": "2015-12-21",
        "status": "A",
        "authorized_official_last_name": "PITOVSKI",
        "authorized_official_first_name": "DIMITRI",
        "authorized_official_middle_name": "ZIVKO",
        "authorized_official_title_or_position": "PHYSICIAN/ CEO",
        "authorized_official_telephone_number": "866-250-7400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207KI0005X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Clinical & Laboratory Immunology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207YX0602X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngic Allergy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lania Allen
• Mary Ann Allen, MS, CCC-A
• Sandra Jean Allen, CRNA
• Shawntel Allen, CRC, LCAS-A
• Stefanie Allen, RN
• Donna F Alley, CCC-SLP
• Kelli Alley, PHARMD
• Kimberly Allison, AGNP
• Virginia Lickel Allison, M.ED., NCC, LPC
• Carolyn Antoinette Allman, M.D.

• Otolaryngology Physician in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Otolaryngology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2015; 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.