Active NPI
U P Asthma and Allergy Center
- Allergy & Immunology Physician
- Marquette, MI
National Provider Identifier
1902948151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 4301050543
- Legal business name
- U P ASTHMA AND ALLERGY CENTER
- Practice address
- 1414 W Fair Ave Ste 216
Marquette, MI 49855-5406 - Phone
- (906) 225-4725
- NPI assigned
- Feb 13, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bobby Z Joseph, M.D.
- Title
- Owner
- Phone
- (906) 225-4725
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 4301050543 | MI | Primary |
Addresses
Primary practice location
1414 W Fair Ave Ste 216
Marquette, MI 49855-5406
Mailing address
1414 W Fair Ave Ste 216
Marquette, MI 49855-5406
Phone (906) 225-4725
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 030520091 | Other | MI | BLUE CROSS BLUE SHIELD MI |
| 102843109 | Medicaid | MI |
National Provider Directory
National Provider DirectoryLocations
1414 W Fair Ave
Ste 216
Marquette, MI 49855
Phone (906) 225-4725
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1211241600000",
"number": "1902948151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1414 W FAIR AVE STE 216",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "498555406",
"telephone_number": "906-225-4725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1414 W FAIR AVE STE 216",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "498555406",
"telephone_number": "906-225-4725"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "U P ASTHMA AND ALLERGY CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-13",
"last_updated": "2008-05-20",
"status": "A",
"authorized_official_last_name": "JOSEPH",
"authorized_official_first_name": "BOBBY",
"authorized_official_middle_name": "Z",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "906-225-4725",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Allergy & Immunology",
"state": "MI",
"license": "4301050543",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD MI",
"identifier": "030520091",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102843109",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marquette, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.