Pediatric & Adult Allergy PC

Primary specialty

Allergy PhysicianTaxonomy code 207KA0200X

Legal business name

PEDIATRIC & ADULT ALLERGY PC

Practice address

1212 Pleasant St
Suite 110
Des Moines, IA 50309-1410

Phone

(515) 244-7229

NPI assigned

Dec 28, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Elizabeth Mary Schultz

Title

Clinic Manager

Phone

(515) 244-7229

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IA

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 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Whitney E Molis, M.D.

  • Allergy & Immunology Physician
  • Des Moines, IA
  • NPI 1396724878
  Medicare reassignment Care Compare group NPD
• Robert Austin Colman, M.D.

  • Allergy Physician
  • Des Moines, IA
  • NPI 1255497863
  Medicare reassignment Care Compare group
• Laura Sue Kersey, ARNP

  • Internal Medicine Physician
  • Des Moines, IA
  • NPI 1588226104
  Medicare reassignment Care Compare group
• Kelly Jesica Pearson, ARNP

  • Family Nurse Practitioner
  • Windsor Heights, IA
  • NPI 1124216882
  Medicare reassignment Care Compare group
• Tara J Federly, M.D.

  • Allergy Physician
  • West Des Moines, IA
  • NPI 1164683835
  NPD (past)

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245283200000",
    "number": "1609932201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 PLEASANT ST",
            "address_2": "SUITE 110",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091410",
            "telephone_number": "515-244-7229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 PLEASANT ST",
            "address_2": "SUITE 110",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091410",
            "telephone_number": "515-244-7229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC & ADULT ALLERGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2009-06-18",
        "status": "A",
        "authorized_official_last_name": "SCHULTZ",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "515-244-7229",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0166314",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bryan Theodore Pearson, MD
• Lisa Marie Pearson
• Carolyn Su-Ying Pease, M.D.
• Caitlin Siobhan Pedati
• Brenda K. Pedersen, BSOT, OTR/L, CHT
• Pediatric Cardiology, P.C.
• Pediatric Dentistry of Central Iowa, P.C.
• Pediatrics and Adolescent Medicine, P.C.
• Alissa Marie Peer, BS., CADC
• Kristen Peerbaccus

• Allergy Physician in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Allergy Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2009; 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.