Organization Active NPI

Cranberry Allergy Asthma and Clinical Immunology, PLLC

  • Allergy & Immunology Physician
  • Wexford, PA
National Provider Identifier
1871866541
Registry record updated Jun 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
Legal business name
CRANBERRY ALLERGY ASTHMA AND CLINICAL IMMUNOLOGY, PLLC
Practice address
119 Vip Dr
Suite 204
Wexford, PA 15090-7976
Phone
(724) 935-1111
Fax
(724) 704-7832
NPI assigned
Feb 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2012

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

Authorized official

Name
Deborah Albright, MD
Title
Operator
Phone
(724) 935-1111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X Primary

Addresses

Primary practice location

119 Vip Dr
Suite 204
Wexford, PA 15090-7976

Mailing address

119 Vip Dr
Suite 204
Wexford, PA 15090-7976
Phone (724) 935-1111

National Provider Directory

National Provider Directory

Locations

119 Vip Dr
Ste 204
Wexford, PA 15090
Phone (724) 759-7387

NPI Registry JSON

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

{
    "created_epoch": "1328832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339027200000",
    "number": "1871866541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 VIP DR",
            "address_2": "SUITE 204",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150907976",
            "telephone_number": "724-935-1111",
            "fax_number": "724-704-7832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 VIP DR",
            "address_2": "SUITE 204",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150907976",
            "telephone_number": "724-935-1111",
            "fax_number": "724-704-7832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRANBERRY ALLERGY ASTHMA AND CLINICAL IMMUNOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-10",
        "last_updated": "2012-06-07",
        "status": "A",
        "authorized_official_last_name": "ALBRIGHT",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "OPERATOR",
        "authorized_official_telephone_number": "724-935-1111",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wexford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2012; 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.