Active NPI
Southern Illinois Allergy&Asthma Center,SC
- Clinic/Center
- Carbondale, IL
National Provider Identifier
1720175193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- SOUTHERN ILLINOIS ALLERGY&ASTHMA CENTER,SC
- Practice address
- 1001 E Main St
2A Ppe
Carbondale, IL 62901-3100 - Phone
- (618) 549-9385
- Fax
- (618) 549-8795
- NPI assigned
- Oct 6, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ronald Dean Mings, M.D.
- Title
- President
- Phone
- (618) 549-9385
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | IL | Primary |
Addresses
Primary practice location
1001 E Main St
2A Ppe
Carbondale, IL 62901-3100
Mailing address
1001 E Main St
2A Ppe
Carbondale, IL 62901-3100
Phone (618) 549-9385
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03927935 | Other | IL | BLUE CROSS/BLUE SHIELD |
| 027533 | Other | IL | HEALTH ALLIANCE |
| 101269 | Other | IL | HEALTHLINK |
National Provider Directory
National Provider DirectoryLocations
1001 E Main St
Ste 2A
Carbondale, IL 62901
Phone (618) 549-9385
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1190160000000",
"number": "1720175193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 E MAIN ST",
"address_2": "2A PPE",
"city": "CARBONDALE",
"state": "IL",
"postal_code": "629013100",
"telephone_number": "618-549-9385",
"fax_number": "618-549-8795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 E MAIN ST",
"address_2": "2A PPE",
"city": "CARBONDALE",
"state": "IL",
"postal_code": "629013100",
"telephone_number": "618-549-9385",
"fax_number": "618-549-8795"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHERN ILLINOIS ALLERGY&ASTHMA CENTER,SC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-06",
"last_updated": "2007-09-19",
"status": "A",
"authorized_official_last_name": "MINGS",
"authorized_official_first_name": "RONALD",
"authorized_official_middle_name": "DEAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "618-549-9385",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "03927935",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ALLIANCE",
"identifier": "027533",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "101269",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Carbondale, IL
- Michelle Soto
- Nicole Tianna Sottile, MD
- Southern Il Regional Social Services
- Southern Il Regional Social Services
- Southern Il Regional Social Services, Inc.
- Southern Illinois Center for Art & Play Therapy LLC
- Southern Illinois Center for Independent Living
- Southern Illinois Center for Independent Living
- Southern Illinois Community Counseling, PLLC
- Southern Illinois Counseling PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.