Provider Type Icon

SUMMIT ALLERGY INC NPI 1407096167


NPI Information

NPI: 1407096167
Provider Name: SUMMIT ALLERGY INC
Classification: Allergy & Immunology - 207K00000X
Entity Type: Organization
Address:
7030 POINTE INVERNESS WAY STE 335
FORT WAYNE, IN
ZIP 46804
Phone: (260) 969-0801
Get Directions

SUMMIT ALLERGY INC is an allergy immunology in Fort Wayne, IN. The provider is an allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. SUMMIT ALLERGY INC NPI is 1407096167. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7030 POINTE INVERNESS WAY STE 335
FORT WAYNE, IN
ZIP 46804-929
Phone: (260) 969-0801
Fax: (260) 969-0802

The provider's authorized official is Elizabeth Isbister .
The authorized official title is Owner and has the following contact phone number (260) 969-0801.

The enumeration date for this NPI number is 2/20/2009 and was last updated on 8/19/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207K00000XAllergy & Immunology01055513AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1259760MEDICARE PININDIANA
2200950470AMEDICAIDINDIANA
3000000600333OTHERINDIANAANTHEM BC/BS PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.