Organization Active NPI

Allergy and Asthma Center of the Tri-State, Inc.

  • Allergy & Immunology Physician
  • Cincinnati, OH
National Provider Identifier
1962515080
Registry record updated Jun 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
35052345 Issued in OH
Legal business name
ALLERGY AND ASTHMA CENTER OF THE TRI-STATE, INC.
Practice address
5757 Glenway Ave
Cincinnati, OH 45238-2105
Phone
(513) 791-6006
Fax
(513) 791-3399
NPI assigned
Aug 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2011

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

Authorized official

Name
Dr. Mark Michael, M.D.
Title
President
Phone
(513) 791-6006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X 35052345 OH Primary

Addresses

Primary practice location

5757 Glenway Ave
Cincinnati, OH 45238-2105

Mailing address

5757 Glenway Ave
Cincinnati, OH 45238-2105
Phone (513) 791-6006

National Provider Directory

National Provider Directory

Locations

2450 Kipling Ave
Ste 110
Cincinnati, OH 45239
Phone (513) 451-6006

10495 Montgomery Rd
Ste 24
Montgomery, OH 45242
Phone (513) 791-6006

Practitioners & affiliated clinicians

Practitioners 1

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": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309392000000",
    "number": "1962515080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5757 GLENWAY AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452382105",
            "telephone_number": "513-791-6006",
            "fax_number": "513-791-3399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5757 GLENWAY AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452382105",
            "telephone_number": "513-791-6006",
            "fax_number": "513-791-3399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY AND ASTHMA CENTER OF THE TRI-STATE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2011-06-30",
        "status": "A",
        "authorized_official_last_name": "MICHAEL",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-791-6006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "OH",
            "license": "35052345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2011; 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.