Tri State Allergy and Asthma, LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

MD434791 Issued in PA

Legal business name

TRI STATE ALLERGY AND ASTHMA, LLC

Practice address

3546 W 12TH St
Erie, PA 16505-3654

Phone

(814) 879-0979

Fax

(814) 452-4360

NPI assigned

Aug 11, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Sartaj Ahmed, MDNPI 1629255443

Title

Owner/Physician

Phone

(814) 688-1508

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sartaj Sultana Ahmed, M.D.

  • Allergy & Immunology Physician
  • Erie, PA
  • NPI 1629255443
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1439251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566000000000",
    "number": "1801262001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3546 W 12TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165053654",
            "telephone_number": "814-879-0979",
            "fax_number": "814-452-4360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3546 W 12TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165053654",
            "telephone_number": "814-879-0979",
            "fax_number": "814-452-4360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI STATE ALLERGY AND ASTHMA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-11",
        "last_updated": "2019-08-17",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "SARTAJ",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "814-688-1508",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "PA",
            "license": "MD434791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lydia Angelique Travnik, D.O.
• Joshua D Trayer
• Joao Arthur Trein Jr., MD
• Miguel Trelles de Belaunde
• Melissa Trevezo, RDH, OMT
• Tri-State Anesthesia Services, Inc.
• Tri-State Pain Institute LLC
• Tricounty Medical Equipment and Supply, LLC
• Kyle William Trimble, DPT
• Lisa Trimble

• Medical Specialty Clinic/Center in Erie, PA
• Providers in Erie, PA by specialty
• Medical Specialty Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.