NPIMap

Organization Active NPI

Midwest Allergy Associates, Inc.

  • Allergy Physician
  • Newark, OH
National Provider Identifier
1801422639
Registry record updated Mar 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
Legal business name
MIDWEST ALLERGY ASSOCIATES, INC.
Practice address
1524 W Church St
Newark, OH 43055-1561
Phone
(740) 344-9484
Fax
(740) 344-6366
NPI assigned
Mar 12, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2020

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

Authorized official

Name
Lori Knisley
Title
Office Manager
Phone
(614) 846-5944

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207KA0200X Primary

Addresses

Primary practice location

1524 W Church St
Newark, OH 43055-1561

Mailing address

8080 Ravines Edge CT Ste 100
Columbus, OH 43235-5424
Phone (614) 846-5944

Other identifiers 1

IdentifierTypeStateIssuer
0064258MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
Midwest Allergy Associates Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1583971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583971200000",
    "number": "1801422639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8080 RAVINES EDGE CT STE 100",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432355424",
            "telephone_number": "614-846-5944",
            "fax_number": "614-846-6504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 W CHURCH ST",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430551561",
            "telephone_number": "740-344-9484",
            "fax_number": "740-344-6366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST ALLERGY ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-12",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A",
        "authorized_official_last_name": "KNISLEY",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "614-846-5944"
    },
    "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": "0064258",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.

Verify at the official NPI Registry.