Organization Active NPI

Allergic Disease and Asthma Center PA

  • Allergy Physician
  • Greenville, SC
National Provider Identifier
1952302853
Registry record updated Mar 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
Legal business name
ALLERGIC DISEASE AND ASTHMA CENTER PA
Practice address
1202 E Butler Rd
Greenville, SC 29607-5910
Phone
(864) 627-3800
Fax
(864) 672-2653
NPI assigned
Aug 2, 2005
Last updated
Mar 18, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2014

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

Authorized official

Name
Dr. Neil L Kao, MDNPI 1720089477
Title
Partner
Phone
(864) 627-3800

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 Physician 207KA0200X SC Primary

Addresses

Primary practice location

1202 E Butler Rd
Greenville, SC 29607-5910

Mailing address

1202 E Butler Rd
Greenville, SC 29607-5910
Phone (864) 627-3800

Other identifiers 1

IdentifierTypeStateIssuer
PA2247MedicaidSC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100525000305 SC Part B Supplier - Clinic/Group Practice 7113992660 Receives reassigned benefits from 11 practitioners
Practice locations: Spartanburg, SC; Greenville, SC; Easley, SC

National Provider Directory

National Provider Directory

Locations

5155 Calhoun Memorial Hwy
Ste Ff
Easley, SC 29640
Phone (864) 627-3800

2 Butternut Dr
Greenville, SC 29605
Phone (864) 232-0871

2 Butternut Dr
Ste A
Greenville, SC 29605

7 Memorial Medical Dr
Greenville, SC 29605
Phone (864) 241-6222

3020 Reidville Rd
Ste A
Spartanburg, SC 29301

Practitioners & affiliated clinicians

Practitioners 12

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": "1122940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395100800000",
    "number": "1952302853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 E BUTLER RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296075910",
            "telephone_number": "864-627-3800",
            "fax_number": "864-672-2653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 E BUTLER RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296075910",
            "telephone_number": "864-627-3800",
            "fax_number": "864-672-2653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGIC DISEASE AND ASTHMA CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-02",
        "last_updated": "2014-03-18",
        "status": "A",
        "authorized_official_last_name": "KAO",
        "authorized_official_first_name": "NEIL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "864-627-3800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PA2247",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; 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.