NPIMap

Organization Active NPI

Homestead Allergy LLC

Doing business as Homestead Allergy

  • Allergy Physician
  • Bristow, OK
National Provider Identifier
1962892224
Registry record updated Jan 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
Legal business name
HOMESTEAD ALLERGY LLC
Doing business as
Homestead Allergy
Practice address
222 N Main St
Bristow, OK 74010-2408
Phone
(918) 367-6533
Fax
(918) 367-6544
NPI assigned
Jan 26, 2015
Last updated
Jan 26, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2015

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

Authorized official

Name
Richard W Schafer, DONPI 1164411526
Title
Owner
Phone
(918) 960-1751

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207KA0200X OH Primary

Addresses

Primary practice location

222 N Main St
Bristow, OK 74010-2408

Mailing address

PO Box 839
Bristow, OK 74010-0839
Phone (918) 367-6533

Other names 1

  • Homestead Allergy Doing business as

National Provider Directory

National Provider Directory

Locations

222 N Main St
Bristow, OK 74010
Phone (918) 367-6533

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1422230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422230400000",
    "number": "1962892224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 839",
            "city": "BRISTOW",
            "state": "OK",
            "postal_code": "740100839",
            "telephone_number": "918-367-6533",
            "fax_number": "918-367-6544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 N MAIN ST",
            "city": "BRISTOW",
            "state": "OK",
            "postal_code": "740102408",
            "telephone_number": "918-367-6533",
            "fax_number": "918-367-6544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMESTEAD ALLERGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-26",
        "last_updated": "2015-01-26",
        "status": "A",
        "authorized_official_last_name": "SCHAFER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-960-1751",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Homestead Allergy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bristow, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; 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.