Active NPI
Central Indiana Allergy LLC
- Allergy Physician
- Greenwood, IN
National Provider Identifier
1801027099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy Physician
- Legal business name
- CENTRAL INDIANA ALLERGY LLC
- Practice address
- 965 Emerson Pkwy Ste B
Greenwood, IN 46143-6274 - Phone
- (317) 865-0055
- Fax
- (317) 865-0056
- NPI assigned
- Aug 5, 2009
- 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
- Mrs. Angela Ray
- Title
- Manager
- Phone
- (317) 865-0055
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy Physician | 207KA0200X | Primary |
Addresses
Primary practice location
965 Emerson Pkwy Ste B
Greenwood, IN 46143-6274
Mailing address
965 Emerson Pkwy Ste B
Greenwood, IN 46143-6274
Phone (317) 865-0055
Other practice location 1
902 N Samuel Moore Pkwy
Mooresville, IN 46158-1475
Phone (317) 865-0055
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200917240 | Medicaid | IN |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | msmith@ciallergy.com | Direct | |
| Direct Messaging Address | pm@ciallergy.com | Direct |
National Provider Directory
National Provider DirectoryLocations
965 Emerson Pkwy
Ste B
Greenwood, IN 46143
Phone (317) 865-0055
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Allergy & Immunology Physician
- Greenwood, IN
- NPI 1134121569
-
- Allergy & Immunology Physician
- Greenwood, IN
- NPI 1700101102
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249430400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1601251200000",
"number": "1801027099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "965 EMERSON PKWY STE B",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461436274",
"telephone_number": "317-865-0055",
"fax_number": "317-865-0056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "965 EMERSON PKWY STE B",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461436274",
"telephone_number": "317-865-0055",
"fax_number": "317-865-0056"
}
],
"practiceLocations": [
{
"address_1": "902 N Samuel Moore Pkwy",
"address_purpose": "LOCATION",
"city": "Mooresville",
"state": "IN",
"postal_code": "461581475",
"country_code": "US",
"telephone_number": "317-865-0055",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CENTRAL INDIANA ALLERGY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-08-05",
"last_updated": "2020-09-28",
"certification_date": "2020-09-28",
"status": "A",
"authorized_official_last_name": "RAY",
"authorized_official_first_name": "ANGELA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "317-865-0055",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207KA0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Allergy & Immunology, Allergy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200917240",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "msmith@ciallergy.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "965 Emerson Pkwy Ste B",
"city": "Greenwood",
"state": "IN",
"country_code": "US",
"postal_code": "461436274",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pm@ciallergy.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "965 Emerson Pkwy Ste B",
"city": "Greenwood",
"state": "IN",
"country_code": "US",
"postal_code": "461436274",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Greenwood, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.