NPIMap

Organization Active NPI

Allergy & Asthma Affiliates, PC

  • Allergy & Immunology Physician
  • Knoxville, TN
National Provider Identifier
1881864882
Registry record updated Sep 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
Legal business name
ALLERGY & ASTHMA AFFILIATES, PC
Practice address
4817 N. Broadway Street
Suite 101
Knoxville, TN 37918-8703
Phone
(865) 525-2640
Fax
(865) 525-9536
NPI assigned
Mar 5, 2008
Last updated
Sep 23, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
ALLERGY & ASTHMA AFFILIATESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 23, 2016

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

Authorized official

Name
Louis Mavroff
Title
Practice Manager
Phone
(865) 525-2640

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X NU Primary

Addresses

Primary practice location

4817 N. Broadway Street
Suite 101
Knoxville, TN 37918-8703

Mailing address

2121 Highland Ave
Knoxville, TN 37916-1111
Phone (865) 525-2640

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040819001511 TN Part B Supplier - Clinic/Group Practice 7012981772 Receives reassigned benefits from 10 practitioners
8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Alcoa, TN; Sevierville, TN; Powell, TN; Oak Ridge, TN; Morristown, TN; Knoxville, TN; Farragut, TN

Other NPIs on the same Medicare enrollment 8

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

National Provider Directory

National Provider Directory
Tax ID family
Allergy Asthma Affiliates PC9 organizations share this tax ID, including this one
Part of
Allergy Asthma Affiliates PC

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2121 Highland Ave
Knoxville, TN 37916
Phone (865) 525-2640

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474588800000",
    "number": "1881864882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 HIGHLAND AVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379161111",
            "telephone_number": "865-525-2640",
            "fax_number": "865-525-9536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4817 N. BROADWAY STREET",
            "address_2": "SUITE 101",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379188703",
            "telephone_number": "865-525-2640",
            "fax_number": "865-525-9536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY & ASTHMA AFFILIATES, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALLERGY & ASTHMA AFFILIATES",
        "enumeration_date": "2008-03-05",
        "last_updated": "2016-09-23",
        "status": "A",
        "authorized_official_last_name": "MAVROFF",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "865-525-2640"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2016; 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.