ALLERGY ASTHMA & IMMUNOLOGY SERVICES, LLC (NPI# 1215119508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215119508 |
Entity Type | Organization |
Organization Name | ALLERGY ASTHMA & IMMUNOLOGY SERVICES, LLC |
Practice Address |
1735 Elm Court Jefferson City MO 65101-4129 |
Practice Telephone | 5736382012 |
Practice Fax Number | 5737614249 |
Mailing Telephone | 5736382012 |
Mailing Fax Number | 5737614249 |
Enumeration Date | 2007-11-29 |
Last Update Date | 2015-01-22 |
Authorized Official Name | DR. STANLEY RAYMOND HORNER (OWNER/PHYSICIAN) |
Authorized Official Telephone | 5736382012 |
Authorized Official Credential | D.O. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207KI0005X |
Allergy & Immunology Specialization: Clinical & Laboratory Immunology |
0340248-22 | MO | Allopathic & Osteopathic Physicians |
Y | 207KI0005X |
Allergy & Immunology Specialization: Clinical & Laboratory Immunology |
36946 | MO | Allopathic & Osteopathic Physicians |
Street Address |
1735 ELM COURT |
City | JEFFERSON CITY |
State | MO |
Zip Code | 65101-4129 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174979520 | Jefferson City Medical Group, PC | Emergency Medicine | 1735 Elm Court, Jefferson City, MO 65101 | 2016-05-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619468527 | Lhcg Cxxxxiii, LLC | Home Health | 1125 Madison St Ste C, Jefferson City, MO 65101 | 2018-05-25 |
1396254629 | Lauren Mellon | Speech-Language Pathologist | 6124 Falcon Lane, Jefferson City, MO 65101 | 2017-09-29 |
1518375708 | Daven Nanda | Pharmacist | 2101 N Schotthill Woods Dr., Jefferson City, MO 65101 | 2014-07-31 |
1699183228 | Mark Nitz | Pharmacist | 2101 N Schotthill Dr, Jefferson City, MO 65101 | 2014-07-28 |
1386923472 | Lorinda Jo Leer | Occupational Therapist | 1403 Riverside Drive, Jefferson City, MO 65101 | 2011-08-08 |
1124334503 | Kimberly K Baumhoer | Hearing Instrument Specialist | 315 Ellis Blvd. Suite 202, Hearing Aid Consultants, Jefferson City, MO 65101 | 2010-08-24 |
1780867341 | Health Enhancements, P.C. | Family Medicine | 1739 Elm Court Plaza, Suite 106, Jefferson City, MO 65101 | 2007-12-06 |
1336364819 | Jerome Satorre | Occupational Therapist | 505 Ellis Blvd, Apt B20, Jefferson, MO 65101 | 2007-04-17 |
1326263450 | Bryan M. Pope, Dds Inc. | Dentist | 200 St. Mary's Medical Plaza, Suite 101, Jefferson City, MO 65101 | 2007-04-16 |
1104948769 | Kenneth Mark Skouby | Social Worker | 515a East Mccarty, Jefferson City, MO 65101 | 2007-04-04 |
Find all providers in zip 65101 |
Taxonomy Code | 207KI0005X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Allergy & Immunology |
Specialization | Clinical & Laboratory Immunology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396015095 | James W Willoughby II Do PC | Allergy & Immunology | 24-26 S Main St, Ste A, Liberty, MO 64069 | 2012-01-11 |
City | JEFFERSON CITY |
Zip Code | 65101 |
Please comment or provide details below to improve the information on ALLERGY ASTHMA & IMMUNOLOGY SERVICES, LLC.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.