Organization Active NPI

St Clair Allergy & Asthma Center

  • Allergy & Immunology Physician
  • Grosse Pointe, MI
National Provider Identifier
1902805070
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
3747 Issued in MI
Legal business name
ST CLAIR ALLERGY & ASTHMA CENTER
Practice address
17770 Mack Ave
Grosse Pointe, MI 48230-6248
Phone
(313) 885-6367
Fax
(313) 885-5086
NPI assigned
Jul 20, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jennifer Kay Appleyard, M.D.
Title
President
Phone
(313) 885-6367

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X 3747 MI Primary

Addresses

Primary practice location

17770 Mack Ave
Grosse Pointe, MI 48230-6248

Mailing address

17770 Mack Ave
Grosse Pointe, MI 48230-6248
Phone (313) 885-6367

Other names 1

  • EAST AREA ALLERGY & ASTHMA CENTER Doing business as

National Provider Directory

National Provider Directory

Locations

32901 23 Mile Rd
Ste 190
Chesterfield, MI 48047
Phone (586) 646-0667

17770 Mack Ave
Grosse Pointe Shores, MI 48230
Phone (313) 882-1731

NPI Registry JSON

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902805070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17770 MACK AVE",
            "city": "GROSSE POINTE",
            "state": "MI",
            "postal_code": "482306248",
            "telephone_number": "313-885-6367",
            "fax_number": "313-885-5086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17770 MACK AVE",
            "city": "GROSSE POINTE",
            "state": "MI",
            "postal_code": "482306248",
            "telephone_number": "313-885-6367",
            "fax_number": "313-885-5086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST CLAIR ALLERGY & ASTHMA CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "APPLEYARD",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-885-6367",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "MI",
            "license": "3747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EAST AREA ALLERGY & ASTHMA CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grosse Pointe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.