Active NPI
Allergy and Asthma Wellness Centers Inc
- Allergy & Immunology Physician
- Butler, PA
National Provider Identifier
1639638513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- Legal business name
- ALLERGY AND ASTHMA WELLNESS CENTERS INC
- Practice address
- 200 Renaissance Dr Ste 105
Butler, PA 16001-7612 - Phone
- (724) 256-8514
- Fax
- (724) 256-9609
- NPI assigned
- Mar 19, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jayme Johnston
- Title
- Revenue Cycle Manager
- Phone
- (434) 849-1976
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | Primary |
Addresses
Primary practice location
200 Renaissance Dr Ste 105
Butler, PA 16001-7612
Mailing address
200 Renaissance Dr Ste 103
Butler, PA 16001-7612
Phone (724) 256-8514
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1036269280001 | Medicaid | PA |
National Provider Directory
National Provider DirectoryLocations
200 Renaissance Dr
Ste 105
Butler, PA 16001
Phone (724) 256-8514
282 Saint Clair Ave
Clairton, PA 15025
Phone (724) 256-8514
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552953600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1588636800000",
"number": "1639638513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 RENAISSANCE DR STE 103",
"city": "BUTLER",
"state": "PA",
"postal_code": "160017612",
"telephone_number": "724-256-8514",
"fax_number": "724-256-9609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 RENAISSANCE DR STE 105",
"city": "BUTLER",
"state": "PA",
"postal_code": "160017612",
"telephone_number": "724-256-8514",
"fax_number": "724-256-9609"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALLERGY AND ASTHMA WELLNESS CENTERS INC",
"organizational_subpart": "NO",
"enumeration_date": "2019-03-19",
"last_updated": "2020-05-05",
"certification_date": "2020-05-05",
"status": "A",
"authorized_official_last_name": "JOHNSTON",
"authorized_official_first_name": "JAYME",
"authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
"authorized_official_telephone_number": "434-849-1976"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Allergy & Immunology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1036269280001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Butler, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.