Organization Active NPI

Green Bay Allergy Asthma & Immunology S.C. Oconto

  • Internal Medicine Physician
  • Oconto, WI
National Provider Identifier
1922167402
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
GREEN BAY ALLERGY ASTHMA & IMMUNOLOGY S.C. OCONTO
Practice address
203 Smith Ave Ste 1
Oconto, WI 54153-1060
Phone
(920) 834-8833
NPI assigned
Dec 8, 2006
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
James W Allen, MD
Title
Owner
Phone
(920) 336-5620

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X NU
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

203 Smith Ave Ste 1
Oconto, WI 54153-1060

Mailing address

203 Smith Ave Ste 1
Oconto, WI 54153-1060
Phone (920) 834-8833

National Provider Directory

National Provider Directory

Locations

203 Smith Ave
Ste 1
Oconto, WI 54153
Phone (920) 834-8833

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1922167402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 SMITH AVE STE 1",
            "city": "OCONTO",
            "state": "WI",
            "postal_code": "541531060",
            "telephone_number": "920-834-8833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 SMITH AVE STE 1",
            "city": "OCONTO",
            "state": "WI",
            "postal_code": "541531060",
            "telephone_number": "920-834-8833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN BAY ALLERGY ASTHMA & IMMUNOLOGY S.C. OCONTO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-336-5620",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oconto, WI

Sources for this page

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

Verify at the official NPI Registry.