William Storms Allergy Clinic PC

Primary specialty

Allergy PhysicianTaxonomy code 207KA0200X

Legal business name

WILLIAM STORMS ALLERGY CLINIC PC

Practice address

900 Indiana Ave Ste C
Pueblo, CO 81004-3767

Phone

(719) 955-6000

Fax

(855) 828-0878

NPI assigned

Sep 25, 2020

Organization subpart

No

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

Authorized official

Name

Linda Schutt

Title

Credentials Specialist

Phone

(512) 548-0988

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Aspire Allergy & Sinus Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• William Storms Allergy Clinic PC

  • Allergy Physician
  • Colorado Springs, CO
  • NPI 1073120945

  O20050801001228

  Same enrollment
• William Storms Allergy Clinic PC

  • Allergy & Immunology Physician
  • Colorado Springs, CO
  • NPI 1184635914

  O20050801001228

  Same enrollment
• William Storms Allergy Clinic PC

  • Allergy Physician
  • Colorado Springs, CO
  • NPI 1497362362

  O20050801001228

  Same enrollment
• William Storms Allergy Clinic PC

  • Allergy Physician
  • Castle Rock, CO
  • NPI 1669089538

  O20050801001228

  Same enrollment

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

{
    "created_epoch": "1600992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600992000000",
    "number": "1881201754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5929 BALCONES DR STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314280",
            "telephone_number": "125-501-8005",
            "fax_number": "855-828-0878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 INDIANA AVE STE C",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810043767",
            "telephone_number": "719-955-6000",
            "fax_number": "855-828-0878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM STORMS ALLERGY CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-25",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A",
        "authorized_official_last_name": "SCHUTT",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "CREDENTIALS SPECIALIST",
        "authorized_official_telephone_number": "512-548-0988"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50227876",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aspire Allergy & Sinus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matthew W Wilkins
• Krista Elizabeth Wilks, D.C.
• Febie Will, RDH
• Trevor R Willardson, CRNA
• William and Associates LLC
• Marilyn J Williams Miller, P.T.
• Brandon Williams
• Britney L Williams, COTA/L
• Darrell Williams
• Gail Lyn Williams

• Allergy Physician in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Allergy Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.