Organization Active NPI

Allergy & Asthma Center of Northeast Ohio

  • Allergy Physician
  • Akron, OH
National Provider Identifier
1669550653
Registry record updated Jul 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
Legal business name
ALLERGY & ASTHMA CENTER OF NORTHEAST OHIO
Practice address
215 W Bowery St
Suite 4500
Akron, OH 44308-1069
Phone
(330) 762-7475
Fax
(330) 253-2412
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2008

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

Authorized official

Name
Dr. Rajeev Kishore, MDNPI 1831178110
Title
President of Corporation
Phone
(330) 762-7475

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207KA0200X Primary

Addresses

Primary practice location

215 W Bowery St
Suite 4500
Akron, OH 44308-1069

Mailing address

215 W Bowery St
Suite 4500
Akron, OH 44308-1069
Phone (330) 762-7475

Other identifiers 2

IdentifierTypeStateIssuer
DD6471OtherOHMEDICARE RAILROAD
2117097MedicaidOH

Other names 1

  • Allergy & Pediatric Pulmonary Associates Former legal business name

National Provider Directory

National Provider Directory

Locations

215 W Bowery St
Ste 4500
Akron, OH 44308
Phone (330) 762-7475

5655 Hudson Dr
Ste 100
Hudson, OH 44236
Phone (234) 269-5288

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216252800000",
    "number": "1669550653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 W BOWERY ST",
            "address_2": "SUITE 4500",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443081069",
            "telephone_number": "330-762-7475",
            "fax_number": "330-253-2412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 W BOWERY ST",
            "address_2": "SUITE 4500",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443081069",
            "telephone_number": "330-762-7475",
            "fax_number": "330-253-2412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY & ASTHMA CENTER OF NORTHEAST OHIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2008-07-17",
        "status": "A",
        "authorized_official_last_name": "KISHORE",
        "authorized_official_first_name": "RAJEEV",
        "authorized_official_title_or_position": "PRESIDENT OF CORPORATION",
        "authorized_official_telephone_number": "330-762-7475",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DD6471",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2117097",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allergy & Pediatric Pulmonary Associates",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.