Allergy & Asthma of Southern Indiana, P.C.

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

50003795A Issued in IN

Legal business name

ALLERGY & ASTHMA OF SOUTHERN INDIANA, P.C.

Practice address

485 S Landmark Ave
Bloomington, IN 47403-5005

Phone

(812) 334-1198

Fax

(812) 334-1199

NPI assigned

Oct 4, 2006

Last updated

Aug 8, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Daniel R McCormack, D.O.NPI 1629076849

Title

President

Phone

(812) 334-1198

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daniel R McCormack, D.O.

  • Allergy & Immunology Physician
  • Bloomington, IN
  • NPI 1629076849
  Authorized official Same address or phone

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312761600000",
    "number": "1861587156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 S LANDMARK AVE",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474035005",
            "telephone_number": "812-334-1198",
            "fax_number": "812-334-1199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 S LANDMARK AVE",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474035005",
            "telephone_number": "812-334-1198",
            "fax_number": "812-334-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY & ASTHMA OF SOUTHERN INDIANA, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2011-08-08",
        "status": "A",
        "authorized_official_last_name": "MCCORMACK",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-334-1198",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "IN",
            "license": "50003795A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200094140",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Todd Allen, DDS
• Kara Ann Allen, MD
• Laurie Susan Allen, OTR CHT
• Mary Allen, MSN, APRN
• Ruth Ann Allen, ATC
• Alliance Telemed LLC
• Terry Lee Allshouse, LCSW
• Allure Eyecare LLC
• Louise Annette Alpert, MD
• Hayden Alstott, MD

• Allergy & Immunology Physician in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Allergy & Immunology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2011; 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.