NPIMap

Organization Active NPI

Northwest Asthma & Allergy Center

  • Allergy & Immunology Physician
  • Yakima, WA
National Provider Identifier
1659446938
Registry record updated Jan 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
Legal business name
NORTHWEST ASTHMA & ALLERGY CENTER
Practice address
3901 Creekside Loop
Suite 100
Yakima, WA 98902-4801
Phone
(509) 966-3259
Fax
(509) 966-0191
NPI assigned
Nov 21, 2006
Last updated
Jan 18, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
NORTHWEST ASTHMA & ALLERGY CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 18, 2008

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

Authorized official

Name
Patricia S Mathias
Title
Credentialing Coordinator
Phone
(206) 527-2577

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207K00000X Primary

Addresses

Primary practice location

3901 Creekside Loop
Suite 100
Yakima, WA 98902-4801

Mailing address

4540 Sand Point Way NE
Suite 200
Seattle, WA 98105-3941
Phone (206) 527-1200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040209000462 WA Part B Supplier - Clinic/Group Practice 6507759743 Receives reassigned benefits from 20 practitioners
8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Everett, WA; Issaquah, WA; Pasco, WA; Redmond, WA; Renton, WA; Seattle, WA

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Northwest Asthma Alle

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200614400000",
    "number": "1659446938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4540 SAND POINT WAY NE",
            "address_2": "SUITE 200",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981053941",
            "telephone_number": "206-527-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 CREEKSIDE LOOP",
            "address_2": "SUITE 100",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989024801",
            "telephone_number": "509-966-3259",
            "fax_number": "509-966-0191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST ASTHMA & ALLERGY CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHWEST ASTHMA & ALLERGY CENTER",
        "enumeration_date": "2006-11-21",
        "last_updated": "2008-01-18",
        "status": "A",
        "authorized_official_last_name": "MATHIAS",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "206-527-2577"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2008; 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.