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ALLERGY & ASTHMA OF SOUTHERN INDIANA P.C. NPI 1861587156


NPI Information

NPI: 1861587156
Provider Name: ALLERGY & ASTHMA OF SOUTHERN INDIANA, P.C.
Classification: Allergy & Immunology - 207K00000X
Entity Type: Organization
Address:
485 S LANDMARK AVE
BLOOMINGTON, IN
ZIP 47403
Phone: (812) 334-1198
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ALLERGY & ASTHMA OF SOUTHERN INDIANA, P.C. is an allergy immunology in Bloomington, 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. ALLERGY & ASTHMA OF SOUTHERN INDIANA, P.C. NPI is 1861587156. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

485 S LANDMARK AVE
BLOOMINGTON, IN
ZIP 47403-005
Phone: (812) 334-1198
Fax: (812) 334-1199

The provider's authorized official is Daniel R Mccormack .
The authorized official title is President and has the following contact phone number (812) 334-1198.

The enumeration date for this NPI number is 10/4/2006 and was last updated on 8/8/2011.


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 & Immunology50003795AINDIANAYes

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
1548000MEDICARE ID-TYPE UNSPECIFIED
2200094140MEDICAIDINDIANA

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

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