Organization Active NPI

Allergy, Asthma & Immunology Physicians of Cincinnati, Inc.

  • Allergy & Immunology Physician
  • Cincinnati, OH
National Provider Identifier
1891822946
Registry record updated Oct 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
35-03-9575-E Issued in OH
Legal business name
ALLERGY, ASTHMA & IMMUNOLOGY PHYSICIANS OF CINCINNATI, INC.
Practice address
10496 Montgomery Rd
Suite 207
Cincinnati, OH 45242-5223
Phone
(513) 984-1059
Fax
(513) 794-8823
NPI assigned
Feb 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2007

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

Authorized official

Name
Dr. Gregory Neil Entis, M.D.
Title
President
Phone
(513) 984-1059

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207K00000X 35-03-9575-E OH Primary

Addresses

Primary practice location

10496 Montgomery Rd
Suite 207
Cincinnati, OH 45242-5223

Mailing address

10496 Montgomery Rd
Suite 207
Cincinnati, OH 45242-5223
Phone (513) 984-1059

Other identifiers 1

IdentifierTypeStateIssuer
0459329MedicaidOH

National Provider Directory

National Provider Directory

Locations

10496 Montgomery Rd
Ste 207
Montgomery, OH 45242
Phone (513) 984-1059

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193270400000",
    "number": "1891822946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10496 MONTGOMERY RD",
            "address_2": "SUITE 207",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452425223",
            "telephone_number": "513-984-1059",
            "fax_number": "513-794-8823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10496 MONTGOMERY RD",
            "address_2": "SUITE 207",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452425223",
            "telephone_number": "513-984-1059",
            "fax_number": "513-794-8823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY, ASTHMA & IMMUNOLOGY PHYSICIANS OF CINCINNATI, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-10-25",
        "status": "A",
        "authorized_official_last_name": "ENTIS",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "NEIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-984-1059",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": "OH",
            "license": "35-03-9575-E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0459329",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.