Organization Active NPI

Allergy Associates PC

  • Allergy & Immunology Physician
  • Columbus, IN
National Provider Identifier
1740494079
Registry record updated Jul 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
Legal business name
ALLERGY ASSOCIATES PC
Practice address
815 Schnier Street
Columbus, IN 47201-2619
Phone
(812) 378-3131
Fax
(812) 379-9251
NPI assigned
May 9, 2007
Last updated
Jul 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2008

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

Authorized official

Name
Dr. Robert W Petry, M.D.
Title
President
Phone
(812) 378-3131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X IN Primary

Addresses

Primary practice location

815 Schnier Street
Columbus, IN 47201-2619

Mailing address

815 Schnier Street
Columbus, IN 47201-2619
Phone (812) 378-3131

Other identifiers 1

IdentifierTypeStateIssuer
100052300MedicaidIN

National Provider Directory

National Provider Directory

Locations

2060 Doctors Park Dr
#A
Columbus, IN 47203
Phone (812) 378-3131

301 Henry St
Fl 2
North Vernon, IN 47265
Phone (800) 295-0545

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1740494079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 SCHNIER STREET",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472012619",
            "telephone_number": "812-378-3131",
            "fax_number": "812-379-9251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 SCHNIER STREET",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472012619",
            "telephone_number": "812-378-3131",
            "fax_number": "812-379-9251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "PETRY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-378-3131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100052300",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.