Beaufort County Allergy LLC

Primary specialty

Clinical & Laboratory Immunology (Allergy & Immunology) PhysicianTaxonomy code 207KI0005X

License

26810 Issued in NU

Legal business name

BEAUFORT COUNTY ALLERGY LLC

Doing business as

Allergy & Asthma Center of Hilton Head

Practice address

60 Main Street
Suite D
Hilton Head Is, SC 29926-6603

Phone

(843) 689-6442

Fax

(843) 689-6158

NPI assigned

Jun 3, 2006

Last updated

May 8, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Thomas Charles Beller, MDNPI 1568446581

Title

Owner

Phone

(843) 689-6442

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Allergy & Asthma Center of Hilton Head Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Tax ID family

Allergy Asthma Center of Hilton Head4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Beaufort County Allergy

  dba Allergy & Asthma Center of Hilton Head

  • Non-Pharmacy Dispensing Site
  • Hilton Head, SC
  • NPI 1225348345
  NPD tax ID
• Beaufort County Allergy

  dba Allergy & Asthma Center of Hilton Head

  • Non-Pharmacy Dispensing Site
  • Beaufort, SC
  • NPI 1609185164
  NPD tax ID
• Beaufort County Allergy

  dba Allergy & Asthma Center of Hilton Head

  • Non-Pharmacy Dispensing Site
  • Hardeeville, SC
  • NPI 1891004354
  NPD tax ID

Locations

Practitioners 2

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.

• Thomas Charles Beller, MD

  • Clinical & Laboratory Immunology (Allergy & Immunology) Physician
  • Hardeeville, SC
  • NPI 1568446581
  Medicare reassignment NPD Authorized official
• Candace C. Coggins, NP

  • Nurse Practitioner
  • New York, NY
  • NPI 1467407965
  NPD (past)

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336435200000",
    "number": "1972541944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 MAIN STREET",
            "address_2": "SUITE D",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "229266603",
            "telephone_number": "843-689-6442",
            "fax_number": "843-689-6158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 MAIN STREET",
            "address_2": "SUITE D",
            "city": "HILTON HEAD IS",
            "state": "SC",
            "postal_code": "299266603",
            "telephone_number": "843-689-6442",
            "fax_number": "843-689-6158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUFORT COUNTY ALLERGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2012-05-08",
        "status": "A",
        "authorized_official_last_name": "BELLER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-689-6442",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "SC",
            "license": "26810",
            "primary": false
        },
        {
            "code": "207KI0005X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Clinical & Laboratory Immunology",
            "state": "NU",
            "license": "26810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4321",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allergy & Asthma Center of Hilton Head",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Edward Dorsner, MD
• Deborah Carole Linman

• Allergy & Immunology Physician in Hilton Head Is, SC
• Providers in Hilton Head Is, SC by specialty
• Allergy & Immunology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2012; 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.