SUMMIT ALLERGY INC (NPI# 1407096167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407096167 |
| Entity Type | Organization |
| Organization Name | SUMMIT ALLERGY INC |
| Practice Address |
7030 Pointe Inverness Way Ste 335 Fort Wayne IN 46804-7929 |
| Practice Telephone | 2609690801 |
| Practice Fax Number | 2609690802 |
| Mailing Telephone | 2609690801 |
| Mailing Fax Number | 2609690802 |
| Enumeration Date | 2009-02-20 |
| Last Update Date | 2014-08-19 |
| Authorized Official Name | DR. ELIZABETH ISBISTER (OWNER) |
| Authorized Official Telephone | 2609690801 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | 01055513A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM BC/BS PIN | 000000600333 | 01 |
| IN | 200950470A | 05 |
| Street Address |
7030 POINTE INVERNESS WAY STE 335 |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46804-7929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396350344 | Derek Mumaw | Physical Therapist | 8420 Illinois Rd, Fort Wayne, IN 46804 | 2020-09-15 |
| 1942840228 | Erin M Mason | Behavior Technician | 5601 Coventry Ln, Fort Wayne, IN 46804 | 2020-01-14 |
| 1346880879 | Emily A Abdalla | Behavior Technician | 5601 Coventry Ln., Fort Wayne, IN 46804 | 2020-01-13 |
| 1083265433 | Fort Wayne Endodontics | Dentist | 9407 Illinois Rd, Fort Wayne, IN 46804 | 2019-09-26 |
| 1689140949 | Harrison Dental Group II, LLC | Dentist | 1333 Getz Rd, Fort Wayne, IN 46804 | 2018-10-15 |
| 1346731908 | Erin Nicole Zimmerman | Nurse Practitioner | 10170 Illinois Rd # 14, Fort Wayne, IN 46804 | 2018-05-19 |
| 1417446022 | Mary Harrington | Physical Therapist | 3320 Copper Hill Run, Fort Wayne, IN 46804 | 2018-05-09 |
| 1942701214 | Joshawa Todd Torres | Marriage & Family Therapist | 5651 Coventry Ln # 116, Fort Wayne, IN 46804 | 2018-02-22 |
| 1194235408 | Mitchell Kory Meyer | Specialist/Technologist | 9125 Yellow Tree Ct, Fort Wayne, IN 46804 | 2017-10-02 |
| 1902324916 | Emily Rene Sagstetter | Specialist/Technologist | 6034 Liberty Glade Ct, Fort Wayne, IN 46804 | 2017-08-30 |
| Find all providers in zip 46804 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255561767 | Adam Updegraff | Allergy & Immunology | 7964 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2009-07-17 |
| 1386606911 | The Allergy & Asthma Center, P.C. | Allergy & Immunology | 7222 Engle Road, Fort Wayne, IN 46804-2222 | 2006-04-06 |
| 1790801512 | Pediatric & Adult Allergy Asthma & Immunology Specialists, LLC | Allergy & Immunology | 3030 Lake Ave, Suite 27, Fort Wayne, IN 46805-5428 | 2007-03-22 |
| 1689714727 | Fort Wayne Allergy and Asthma Consultants, Inc. | Allergy & Immunology | 7920 W Jefferson Blvd, Suite 220, Fort Wayne, IN 46804-4168 | 2007-02-07 |
| 1346320504 | Drs. Nelson & Menon | Allergy & Immunology | 3030 Lake Ave, Suite 27, Fort Wayne, IN 46805-5428 | 2006-10-16 |
| 1851491377 | Mohan M Menon | Allergy & Immunology | 3030 Lake Ave, Suite 27, Fort Wayne, IN 46805-5428 | 2006-09-24 |
| 1437259967 | James B Nelson | Allergy & Immunology | 3030 Lake Ave, Suite 27, Fort Wayne, IN 46805-5428 | 2006-09-24 |
| 1871556951 | Russell Vaughn Maples | Allergy & Immunology | 7222 Engle Road, Fort Wayne, IN 46804-2222 | 2006-04-10 |
| 1811950462 | William Lee Smits | Allergy & Immunology | 7222 Engle Road, Fort Wayne, IN 46804-2222 | 2006-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538613211 | Allergy Partners, Pa | Allergy & Immunology | 100 N Curry Pike Ste 3, Bloomington, IN 47404-2593 | 2016-08-10 |
| 1225468937 | Deaconess Clinic, Inc | Allergy & Immunology | 4840 S Maple Tree Dr, Princeton, IN 47670-9277 | 2013-11-15 |
| 1285977033 | Vivian Cruz Nanagas | Allergy & Immunology | 4400 Weston Pointe Dr Ste 150, Zionsville, IN 46077 | 2013-03-30 |
| 1881946390 | Allergy Partners, Pllc | Allergy & Immunology | 9002 N Meridian St Ste 107, Indianapolis, IN 46260-5349 | 2012-10-08 |
| 1588827562 | Jennifer Ann Rumpel | Allergy & Immunology | 6375 Us Highway 6 Ste C, Portage, IN 46368 | 2008-07-09 |
| 1083895916 | Paul D. Isenberg, M.d. Inc. | Allergy & Immunology | 1340 E. County Line Rd., Suite T, Indianapolis, IN 46227 | 2007-11-20 |
| 1174732804 | Nabeel N Farooqui | Allergy & Immunology | 11501 Cumberland Rd Ste 500, Fishers, IN 46037-7010 | 2007-05-21 |
| 1740494079 | Allergy Associates PC | Allergy & Immunology | 815 Schnier Street, Columbus, IN 47201-2619 | 2007-05-09 |
| 1497968366 | Nathan Boone Richards | Allergy & Immunology | 3003 Charlestown Xing, Suite D, New Albany, IN 47150-8302 | 2007-05-08 |
| 1104850718 | Allergy Associates of Central In | Allergy & Immunology | 6845 East Us 36, Suite 710, Avon, IN 46123 | 2006-07-10 |
| Find all providers with the same taxonomy | ||||
| City | FORT WAYNE |
| Zip Code | 46804 |
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| 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.