NPIMap

Organization Active NPI

Eastern Allergy, Asthma and Immunology, PA

  • Allergy & Immunology Physician
  • Kinston, NC
National Provider Identifier
1962446773
Registry record updated Nov 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
Legal business name
EASTERN ALLERGY, ASTHMA AND IMMUNOLOGY, PA
Practice address
905 N Queen St
Kinston, NC 28501-3943
Phone
(252) 523-5461
Fax
(252) 523-0471
NPI assigned
Jun 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2010

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

Authorized official

Name
Dr. Hanan S Kirollos, MD
Title
Owner
Phone
(252) 523-5461

Specialties & licenses 1

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

Addresses

Primary practice location

905 N Queen St
Kinston, NC 28501-3943

Mailing address

PO Box 1073
Kinston, NC 28503-1073
Phone (252) 523-5461

Other names 1

  • Seaboard Allergy & Asthma Clinic Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288569600000",
    "number": "1962446773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1073",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285031073",
            "telephone_number": "252-523-5461",
            "fax_number": "252-523-0471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 N QUEEN ST",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285013943",
            "telephone_number": "252-523-5461",
            "fax_number": "252-523-0471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN ALLERGY, ASTHMA AND IMMUNOLOGY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2010-11-01",
        "status": "A",
        "authorized_official_last_name": "KIROLLOS",
        "authorized_official_first_name": "HANAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-523-5461",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seaboard Allergy & Asthma Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kinston, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2010; 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.