Organization Active NPI

Ohio Allergy Associates, Inc.

  • Allergy & Immunology Physician
  • Centerville, OH
National Provider Identifier
1962489435
Registry record updated Feb 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
Legal business name
OHIO ALLERGY ASSOCIATES, INC.
Practice address
8039 Washington Village Drive
Ste 100
Centerville, OH 45458-3859
Phone
(937) 435-8999
Fax
(937) 435-4211
NPI assigned
Dec 27, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2013

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

Authorized official

Name
Arturo Jose Bonnin, MDNPI 1790761823
Title
President
Phone
(937) 435-8999

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 & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X Primary

Addresses

Primary practice location

8039 Washington Village Drive
Ste 100
Centerville, OH 45458-3859

Mailing address

8039 Washington Village Drive
Ste 100
Centerville, OH 45458-3859
Phone (937) 435-8999

Other identifiers 1

IdentifierTypeStateIssuer
2010871MedicaidOH

Other names 1

  • Allergy and Asthma Centre of Dayton Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031218000039 OH Part B Supplier - Clinic/Group Practice 7517864499 Receives reassigned benefits from 6 practitioners
Practice locations: Beavercreek, OH; Centerville, OH; Dayton, OH; Sidney, OH

National Provider Directory

National Provider Directory

Locations

3121 Evelyn Dr
Ste 100
Beavercreek, OH 45434
Phone (937) 320-1830

8039 Washington Village Dr
Ste 100
Dayton, OH 45458
Phone (937) 435-8999

8654 N Main St
Dayton, OH 45415
Phone (937) 435-8999

634 N Vandemark Rd
#100
Sidney, OH 45365
Phone (937) 492-4600

634 N Vandemark Rd
Sidney, OH 45365

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": "1135641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360627200000",
    "number": "1962489435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8039 WASHINGTON VILLAGE DRIVE",
            "address_2": "STE 100",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454583859",
            "telephone_number": "937-435-8999",
            "fax_number": "937-435-4211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8039 WASHINGTON VILLAGE DRIVE",
            "address_2": "STE 100",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454583859",
            "telephone_number": "937-435-8999",
            "fax_number": "937-435-4211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO ALLERGY ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-27",
        "last_updated": "2013-02-12",
        "status": "A",
        "authorized_official_last_name": "BONNIN",
        "authorized_official_first_name": "ARTURO",
        "authorized_official_middle_name": "JOSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-435-8999",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2010871",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allergy and Asthma Centre of Dayton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Centerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2013; 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.