Organization Active NPI

St Paul Allergy & Asthma Clinic P.a.

  • Allergy & Immunology Physician
  • Saint Paul, MN
National Provider Identifier
1952401804
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
Legal business name
ST PAUL ALLERGY & ASTHMA CLINIC P.A.
Practice address
565 Snelling Ave S
Saint Paul, MN 55116-1525
Phone
(651) 698-0386
Fax
(651) 698-0483
NPI assigned
Sep 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

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

Authorized official

Name
Sarah Roth
Title
Clinic Administrator
Phone
(651) 698-0386

Specialties & licenses 1

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

Addresses

Primary practice location

565 Snelling Ave S
Saint Paul, MN 55116-1525

Mailing address

565 Snelling Ave S
Saint Paul, MN 55116-1525
Phone (651) 698-0386

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040329001228 MN Part B Supplier - Clinic/Group Practice 0840182291 Receives reassigned benefits from 6 practitioners
Practice locations: Saint Paul, MN; Shoreview, MN; Woodbury, MN

National Provider Directory

National Provider Directory

Locations

565 Snelling Ave S
Saint Paul, MN 55116
Phone (651) 698-0386

4535 Hodgson Rd
Ste 500
Shoreview, MN 55126
Phone (651) 379-9080

650 Commerce Dr
Ste 165
Woodbury, MN 55125
Phone (651) 698-0386

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EJBIAD

Practitioners & affiliated clinicians

Practitioners 8

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": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774915200000",
    "number": "1952401804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "565 SNELLING AVE S",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551161525",
            "telephone_number": "651-698-0386",
            "fax_number": "651-698-0483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 SNELLING AVE S",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551161525",
            "telephone_number": "651-698-0386",
            "fax_number": "651-698-0483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST PAUL ALLERGY & ASTHMA CLINIC P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "CLINIC ADMINISTRATOR",
        "authorized_official_telephone_number": "651-698-0386"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2026; 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.