Allergy Associates of Western Michigan P.C.

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

Legal business name

ALLERGY ASSOCIATES OF WESTERN MICHIGAN P.C.

Practice address

3185 Macatawa Dr SW Ste B
Grandville, MI 49418-3184

Phone

(616) 531-6900

Fax

(616) 531-5847

NPI assigned

Jul 16, 2006

Last updated

Apr 2, 2020By 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

Keli Brinks

Title

Insurance Biller

Phone

(616) 531-6900

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

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.

• Thomas Paul Miller, M.D.

  • Allergy & Immunology Physician
  • Grand Rapids, MI
  • NPI 1841210895
  Medicare reassignment Care Compare group NPD
• Erica Lynne Palmisano, M.D.

  • Allergy & Immunology Physician
  • Grandville, MI
  • NPI 1629367081
  Medicare reassignment Care Compare group NPD
• Richard Roy Townley, M.D.

  • Allergy & Immunology Physician
  • Grand Rapids, MI
  • NPI 1457371494
  Medicare reassignment NPD
• Erin Nicole Jerabek-Gibson, PA-C

  • Physician Assistant
  • Grandville, MI
  • NPI 1245674597
  NPD (past)

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585785600000",
    "number": "1699792580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3185 MACATAWA DR SW STE B",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494183184",
            "telephone_number": "616-531-6900",
            "fax_number": "616-531-5847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3185 MACATAWA DR SW STE B",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494183184",
            "telephone_number": "616-531-6900",
            "fax_number": "616-531-5847"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 E Beltline Ave NE Ste 303",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495257024",
            "country_code": "US",
            "telephone_number": "616-726-6706",
            "fax_number": "616-726-6764",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALLERGY ASSOCIATES OF WESTERN MICHIGAN P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A",
        "authorized_official_last_name": "BRINKS",
        "authorized_official_first_name": "KELI",
        "authorized_official_title_or_position": "INSURANCE BILLER",
        "authorized_official_telephone_number": "616-531-6900"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "030D163140",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John E Albrecht, D.D.S.
• Jenna Alexander
• Salman Alkhalifa
• Amber L Allen
• Holly Allen, LLMSW
• Richard Louis Allers, PH.D.
• Oscar Almanza, BT
• Nan Beth Alt, M.D.
• Alternative Care Solution
• Alyssa Davidson, LLC (Next Adventure-Pediatric Occupational Therapy)

• Allergy & Immunology Physician in Grandville, MI
• Providers in Grandville, MI by specialty
• Allergy & Immunology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2020; 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.