Allergy & Asthma Center PC MD

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

MD0000020021 Issued in TN

Legal business name

ALLERGY & ASTHMA CENTER PC MD

Practice address

308 Sunset Dr
Suite 1
Johnson City, TN 37604-2489

Phone

(423) 282-2822

Fax

(423) 282-5492

NPI assigned

Jul 31, 2007

Last updated

Apr 23, 2019By 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

Mrs. Donna Lee Wyche, M.D.NPI 1609898576

Title

Physician/Owner

Phone

(423) 282-2822

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Donna Wyche-Bashor MD PC Other name

Locations

Practitioners 1

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.

• Donna Lee Wyche, MD

  • Allergy & Immunology Physician
  • Johnson City, TN
  • NPI 1609898576
  Authorized official Same address or phone

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555977600000",
    "number": "1700076155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 SUNSET DR",
            "address_2": "SUITE 1",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042489",
            "telephone_number": "423-282-2822",
            "fax_number": "423-282-5492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 SUNSET DR",
            "address_2": "SUITE 1",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042489",
            "telephone_number": "423-282-2822",
            "fax_number": "423-282-5492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY & ASTHMA CENTER PC MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-31",
        "last_updated": "2019-04-23",
        "status": "A",
        "authorized_official_last_name": "WYCHE",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "423-282-2822",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "TN",
            "license": "MD0000020021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4054578",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Donna Wyche-Bashor MD PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Allergy & Immunology Physician in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Allergy & Immunology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2019; 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.