Allergy, Asthma and Immunology Clinic, P.a.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

ALLERGY, ASTHMA AND IMMUNOLOGY CLINIC, P.A.

Practice address

4625 Churchill St
Suite 211
Shoreview, MN 55126-5868

Phone

(651) 765-9800

Fax

(651) 765-9801

NPI assigned

Jul 10, 2006

Last updated

Nov 27, 2007By 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

Audrey D Cecko

Title

Office Manager

Phone

(651) 765-9800

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196121600000",
    "number": "1891729737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4625 CHURCHILL ST",
            "address_2": "SUITE 211",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551265868",
            "telephone_number": "651-765-9800",
            "fax_number": "651-765-9801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4625 CHURCHILL ST",
            "address_2": "SUITE 211",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551265868",
            "telephone_number": "651-765-9800",
            "fax_number": "651-765-9801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY, ASTHMA AND IMMUNOLOGY CLINIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-11-27",
        "status": "A",
        "authorized_official_last_name": "CECKO",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "651-765-9800"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DB3323",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "37517500",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Naddar Said Ahmed
• Aimee Neumann Health and Wellness, LLC
• Alan B Montgomery Orthodontics
• Thomas Lawrence Alberg, PHD
• Halimo Isse Ali
• Allina Health System (Allina Health Shoreview Clinic)
• Allina Health System (Allina Health Urgent Care Shoreview)
• Ambient Health
• Lucille Amis-Rosario, MSW, LICSW
• Barbara Eileen Anderson, MTBC

• Medical Specialty Clinic/Center in Shoreview, MN
• Providers in Shoreview, MN by specialty
• Medical Specialty Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; 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.