Mississippi Asthma and Allergy Clinic PA

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

Legal business name

MISSISSIPPI ASTHMA AND ALLERGY CLINIC PA

Practice address

680D Hwy 51 North
Ridgeland, MS 39157

Phone

(601) 898-1877

Fax

(601) 898-1884

NPI assigned

Jul 10, 2007

Organization subpart

No

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

Authorized official

Name

Mr. David L Moak

Title

Practice Administrator

Phone

(601) 354-4836

Specialties & licenses 1

Addresses

Tax ID family

Ms Asthma and Allergy CL4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Mississippi Asthma & Allergy Clinic PA

  • Allergy & Immunology Physician
  • Jackson, MS
  • NPI 1902882251
  NPD tax ID
• Mississippi Asthma and Allergy Clinic PA

  • Allergy & Immunology Physician
  • Meridian, MS
  • NPI 1548468770
  NPD tax ID
• Mississippi Asthma and Allergy Clinic, P.a.

  • Specialist
  • Oxford, MS
  • NPI 1861715534
  NPD tax ID

Locations

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266278400000",
    "number": "1801094016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1513 LAKELAND DR",
            "address_2": "SUITE 101",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164829",
            "telephone_number": "601-354-4836",
            "fax_number": "601-354-2619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680D HWY 51 NORTH",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "39157",
            "telephone_number": "601-898-1877",
            "fax_number": "601-898-1884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSISSIPPI ASTHMA AND ALLERGY CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-10",
        "last_updated": "2010-02-16",
        "status": "A",
        "authorized_official_last_name": "MOAK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "601-354-4836",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Leann Millican
• Laura Mims, OT
• Mindful Thoughts LLC
• Amanda Keeling Minshew
• Nicholas Missel, DPT
• Mississippi Center for Plastic Surgery
• Mississippi Counseling Services, LLC
• Mississippi Federal Injury Doctors
• Mississippi Medical Relief Care, LLC
• Mississippi Mobile Diagnostics

• Allergy & Immunology Physician in Ridgeland, MS
• Providers in Ridgeland, MS by specialty
• Allergy & Immunology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2010; 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.