Active NPI
Allergy & Asthma Clinic Inc.
- Allergy & Immunology Physician
- Clarion, PA
National Provider Identifier
1861467409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- MD056503L
- Legal business name
- ALLERGY & ASTHMA CLINIC INC.
- Practice address
- 1008 S 5TH Ave
Cricklewood Center Ste. 201
Clarion, PA 16214-8676 - Phone
- (814) 226-1599
- Fax
- (814) 226-1583
- NPI assigned
- Feb 17, 2006
- 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
- Haresh I. Desai, M.D.
- Title
- President
- Phone
- (814) 226-1599
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | MD056503L | PA | Primary |
| Pediatrics Physician | 208000000X | MD056503L | PA |
Addresses
Primary practice location
1008 S 5TH Ave
Cricklewood Center Ste. 201
Clarion, PA 16214-8676
Mailing address
1008 S 5TH Ave
Cricklewood Center Ste. 201
Clarion, PA 16214-8676
Phone (814) 226-1599
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007764110001 | Medicaid | PA | |
| 1507399 | Other | GATEWAY |
National Provider Directory
National Provider DirectoryLocations
1008 S 5th Ave
Ste 201
Clarion, PA 16214
Phone (814) 226-1599
90 Beaver Dr
Ste E
Dubois, PA 15801
Phone (800) 860-8979
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140134400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1283212800000",
"number": "1861467409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1008 S 5TH AVE",
"address_2": "CRICKLEWOOD CENTER STE. 201",
"city": "CLARION",
"state": "PA",
"postal_code": "162148676",
"telephone_number": "814-226-1599",
"fax_number": "814-226-1583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1008 S 5TH AVE",
"address_2": "CRICKLEWOOD CENTER STE. 201",
"city": "CLARION",
"state": "PA",
"postal_code": "162148676",
"telephone_number": "814-226-1599",
"fax_number": "814-226-1583"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALLERGY & ASTHMA CLINIC INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-17",
"last_updated": "2010-08-31",
"status": "A",
"authorized_official_last_name": "DESAI",
"authorized_official_first_name": "HARESH",
"authorized_official_middle_name": "I.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "814-226-1599",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Allergy & Immunology",
"state": "PA",
"license": "MD056503L",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "PA",
"license": "MD056503L",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007764110001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY",
"identifier": "1507399",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clarion, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.