Active NPI
Allergic Disease and Asthma Center
- Allergy & Immunology Physician
- Greenville, SC
National Provider Identifier
1841454063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- Legal business name
- ALLERGIC DISEASE AND ASTHMA CENTER
- Practice address
- 1202 E Butler Rd
Greenville, SC 29607-5910 - Phone
- (864) 627-3800
- Fax
- (864) 672-2653
- NPI assigned
- Jul 16, 2008
- 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
- Dr. Michael W. Reder, MD
- Title
- Medical Physician
- Phone
- (864) 269-0386
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | Primary |
Addresses
Primary practice location
1202 E Butler Rd
Greenville, SC 29607-5910
Mailing address
PO Box 27129
Greenville, SC 29616-2129
Phone (864) 627-3800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 225018 | Medicaid | SC |
National Provider Directory
National Provider DirectoryLocations
1202 E Butler Rd
Greenville, SC 29607
Phone (864) 627-3800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216166400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1286409600000",
"number": "1841454063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 27129",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296162129",
"telephone_number": "864-627-3800",
"fax_number": "864-672-2653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1202 E BUTLER RD",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296075910",
"telephone_number": "864-627-3800",
"fax_number": "864-672-2653"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALLERGIC DISEASE AND ASTHMA CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-16",
"last_updated": "2010-10-07",
"status": "A",
"authorized_official_last_name": "REDER",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "W.",
"authorized_official_title_or_position": "MEDICAL PHYSICIAN",
"authorized_official_telephone_number": "864-269-0386",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Allergy & Immunology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "225018",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.