Academy Allergy Asthma & Sinus, PC

Primary specialty

Allergy PhysicianTaxonomy code 207KA0200X

License

50004268A Issued in IN

Legal business name

ACADEMY ALLERGY ASTHMA & SINUS, PC

Practice address

14540 Prairie Lakes Blvd N
Suite 207
Noblesville, IN 46060

Phone

(317) 621-2455

Fax

(317) 355-6166

NPI assigned

Mar 15, 2006

Last updated

Jul 19, 2022By 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

Dr. David L Patterson, MDNPI 1922001007

Title

Physician/Ceo

Phone

(317) 621-2455

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

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.

• David L Patterson, MD

  • Allergy & Immunology Physician
  • Noblesville, IN
  • NPI 1922001007
  Medicare reassignment Care Compare group NPD Authorized official
• Tracy A Donahue, FNP

  • Family Nurse Practitioner
  • Noblesville, IN
  • NPI 1093718173
  Medicare reassignment Care Compare group NPD
• Christine Jeanne Rubeiz, MD

  • Pediatrics Physician
  • Carmel, IN
  • NPI 1811491392

  Allergy

  Medicare reassignment NPD

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658188800000",
    "number": "1780653535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14540 PRAIRIE LAKES BLVD N",
            "address_2": "SUITE 207",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460604370",
            "telephone_number": "317-621-2455",
            "fax_number": "317-355-6166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14540 PRAIRIE LAKES BLVD N",
            "address_2": "SUITE 207",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "46060",
            "telephone_number": "317-621-2455",
            "fax_number": "317-355-6166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACADEMY ALLERGY ASTHMA & SINUS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-15",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHYSICIAN/CEO",
        "authorized_official_telephone_number": "317-621-2455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "IN",
            "license": "50004268A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200458990A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Joahnnyflor D Acero
• Active Life Chiropractic Clinic
• Christen Hope Adam, PT, WCC

• Allergy Physician in Noblesville, IN
• Providers in Noblesville, IN by specialty
• Allergy Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.