Organization Active NPI

Allergy & Arthritis Treatment Centers LLC

  • Allergy & Immunology Physician
  • Port Charlotte, FL
National Provider Identifier
1891931689
Registry record updated Oct 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
3658046 Issued in FL
Legal business name
ALLERGY & ARTHRITIS TREATMENT CENTERS LLC
Practice address
22226 Westchester Blvd
Port Charlotte, FL 33952-9202
Phone
(941) 625-3402
NPI assigned
Dec 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2010

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

Authorized official

Name
Dr. Leslie Tar, MD, MPHNPI 1720004484
Title
Member
Phone
(941) 625-3402

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207K00000X 3658046 FL Primary

Addresses

Primary practice location

22226 Westchester Blvd
Port Charlotte, FL 33952-9202

Mailing address

22226 Westchester Blvd
Port Charlotte, FL 33952-9202
Phone (941) 625-3402

Other names 1

  • Leslie Tar, MD Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090408000644 FL Part B Supplier - Clinic/Group Practice 0547317554 Receives reassigned benefits from 2 practitioners
Practice locations: Port Charlotte, FL

National Provider Directory

National Provider Directory

Locations

22226 Westchester Blvd
Pt Charlotte, FL 33952
Phone (941) 244-8612

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1230422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286323200000",
    "number": "1891931689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22226 WESTCHESTER BLVD",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339529202",
            "telephone_number": "941-625-3402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22226 WESTCHESTER BLVD",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339529202",
            "telephone_number": "941-625-3402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY & ARTHRITIS TREATMENT CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-28",
        "last_updated": "2010-10-06",
        "status": "A",
        "authorized_official_last_name": "TAR",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "941-625-3402",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, MPH"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": "FL",
            "license": "3658046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Leslie Tar, MD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Port Charlotte, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2010; 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.