Organization Active NPI

Allergy & Asthma Clinic Inc.

  • Allergy & Immunology Physician
  • Clarion, PA
National Provider Identifier
1861467409
Registry record updated Aug 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
MD056503L Issued in PA
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

Updated by the provider on Aug 31, 2010

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)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207K00000X MD056503L PA Primary
Pediatrics PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1007764110001MedicaidPA
1507399OtherGATEWAY

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.