Organization Active NPI

Allergy & Asthma Care of St. Louis

  • Allergy & Immunology Physician
  • Chesterfield, MO
National Provider Identifier
1790974004
Registry record updated Jul 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
R8C97 Issued in MO
Legal business name
ALLERGY & ASTHMA CARE OF ST. LOUIS
Practice address
1585 Woodlake Dr
Suite 201
Chesterfield, MO 63017-5740
Phone
(314) 878-2788
Fax
(314) 878-8988
NPI assigned
Oct 23, 2007
Last updated
Jul 28, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2015

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

Authorized official

Name
Dr. Michele E Kemp, MDNPI 1104828771
Title
President
Phone
(314) 878-2788

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X R8C97 MO Primary

Addresses

Primary practice location

1585 Woodlake Dr
Suite 201
Chesterfield, MO 63017-5740

Mailing address

1585 Woodlake Dr
Suite 201
Chesterfield, MO 63017-5740
Phone (314) 878-2788

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090303000437 MO Part B Supplier - Clinic/Group Practice 8527124320 Receives reassigned benefits from 3 practitioners
Practice locations: Saint Louis, MO; O Fallon, MO; Chesterfield, MO

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D1084478Allergy & Asthma Care of St Louis1585 Woodlake Dr, Ste 201, Chesterfield, MO 63017Certificate of waiverMay 22, 2028

National Provider Directory

National Provider Directory

Locations

1585 Woodlake Dr
Ste 101
Chesterfield, MO 63017
Phone (314) 434-3322

1585 Woodlake Dr
Ste 201
Chesterfield, MO 63017
Phone (314) 878-2788

8888 Ladue Rd
Ste 105
Saint Louis, MO 63124
Phone (314) 725-8844

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438041600000",
    "number": "1790974004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1585 WOODLAKE DR",
            "address_2": "SUITE 201",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630175740",
            "telephone_number": "314-878-2788",
            "fax_number": "314-878-8988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 WOODLAKE DR",
            "address_2": "SUITE 201",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630175740",
            "telephone_number": "314-878-2788",
            "fax_number": "314-878-8988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY & ASTHMA CARE OF ST. LOUIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-23",
        "last_updated": "2015-07-28",
        "status": "A",
        "authorized_official_last_name": "KEMP",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-878-2788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "MO",
            "license": "R8C97",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2015; 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.