NPIMap

Organization Active NPI

Premier Allergy

  • Allergy & Immunology Physician
  • Dublin, OH
National Provider Identifier
1710289293
Registry record updated Aug 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
096318 Issued in OH
Legal business name
PREMIER ALLERGY
Practice address
6565 Perimeter Dr
Dublin, OH 43016-8461
Phone
(614) 328-9927
Fax
(614) 389-3727
NPI assigned
Dec 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2014

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

Authorized official

Name
Dr. Summit S Shah, MD, FAAAAI
Title
President, Ceo
Phone
(614) 328-9927

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X 096318 OH Primary

Addresses

Primary practice location

6565 Perimeter Dr
Dublin, OH 43016-8461

Mailing address

6565 Perimeter Dr
Dublin, OH 43016-8461
Phone (614) 328-9927

Other identifiers 1

IdentifierTypeStateIssuer
3115462MedicaidOH

National Provider Directory

National Provider Directory

Locations

2030 Stringtown Rd
Ste 210
Grove City, OH 43123
Phone (614) 328-5582

883 London Ave
Marysville, OH 43040

4141 N Hampton Dr
Ste 1010
Powell, OH 43065

Practitioners & affiliated clinicians

Practitioners 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1291334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407110400000",
    "number": "1710289293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6565 PERIMETER DR",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430168461",
            "telephone_number": "614-328-9927",
            "fax_number": "614-389-3727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 PERIMETER DR",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430168461",
            "telephone_number": "614-328-9927",
            "fax_number": "614-389-3727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER ALLERGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-03",
        "last_updated": "2014-08-04",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "SUMMIT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT, CEO",
        "authorized_official_telephone_number": "614-328-9927",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, FAAAAI"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "OH",
            "license": "096318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3115462",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2014; 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.