CENTERS FOR ALLERGY, ASTHMA AND IMMUNE DISORDERS PC (NPI# 1770036691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770036691 |
Entity Type | Organization |
Organization Name | CENTERS FOR ALLERGY, ASTHMA AND IMMUNE DISORDERS PC |
Practice Address |
804 Kenyon Rd Fort Dodge IA 50501-5742 |
Practice Telephone | 5155746830 |
Practice Fax Number | 5155746097 |
Mailing Telephone | 5155746830 |
Mailing Fax Number | 5155746097 |
Enumeration Date | 2016-07-27 |
Last Update Date | 2016-07-27 |
Authorized Official Name | DR. FRANCISCO MIR GARCIA PERALTA (PRESIDENT) |
Authorized Official Telephone | 5155700595 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207K00000X | Allergy & Immunology | 29873 | IA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IA | 3179507 | 05 |
Street Address |
804 KENYON RD |
City | FORT DODGE |
State | IA |
Zip Code | 50501-5742 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396737185 | Eric W Bligard | Ophthalmology | 804 Kenyon Rd, Fort Dodge, IA 50501-5746 | 2005-08-17 |
1326664533 | Michael David Wilson | Podiatrist | 804 Kenyon Rd, Fort Dodge, IA 50501-5742 | 2020-06-23 |
1952887382 | Teri Lyn Townsend | Nurse Practitioner | 804 Kenyon Rd, Fort Dodge, IA 50501-5742 | 2018-07-18 |
1225582505 | Iowa Physicians Clinic Medical Foundation | Clinic/Center | 804 Kenyon Rd, Ste D, Fort Dodge, IA 50501-5744 | 2016-08-04 |
1730539255 | Sean Andrew Harper | Podiatrist | 804 Kenyon Rd, Suite 310, Fort Dodge, IA 50501-5742 | 2016-06-15 |
1992170856 | Gary Gansen | Podiatrist | 804 Kenyon Rd, Suite 310, Fort Dodge, IA 50501-5742 | 2015-12-03 |
1982076295 | Megan G Heesch | Nurse Practitioner | 804 Kenyon Rd, Suite F, Fort Dodge, IA 50501-5742 | 2015-10-26 |
1558737239 | Trinity Regional Medical Center | Clinic/Center | 804 Kenyon Rd, Ste 160a, Fort Dodge, IA 50501-5742 | 2015-08-17 |
1033527114 | Trimark Physicians Group | Clinic/Center | 804 Kenyon Rd, Ste D, Fort Dodge, IA 50501-5744 | 2014-08-01 |
1598107542 | Amanda Jean Kuchenreuther | Nurse Practitioner | 804 Kenyon Rd, Fort Dodge, IA 50501-5742 | 2013-07-18 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023523412 | Katelin Judith Hartmann | Nurse Practitioner | 2913 5th Ave S, Fort Dodge, IA 50501 | 2017-12-06 |
1619338365 | John Clay Dds, Plc | Dentist | 1905 North 15th Street, Fort Dodge, IA 50501 | 2016-03-09 |
1710350517 | Alexandria Doyle | Nurse Practitioner | 800 Kenyon Road, Fort Dodge, IA 50501 | 2015-11-03 |
1366859993 | Heather Maureen Stillman Anderson | Dentist | 126 North 10th Street, Fort Dodge, IA 50501 | 2014-07-15 |
1205261575 | Iowa Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2029 5th Ave. South, Fort Dodge, IA 50501 | 2013-09-05 |
1952693020 | Riley Armstrong Plg & Htg, Inc | Contractor | 11 No. 20th St, Fort Dodge, IA 50501 | 2011-05-09 |
1407001639 | Marta Karyn Kramer | Pharmacist | 1428 2nd Ave No., Fort Dodge, IA 50501 | 2008-12-02 |
1427251305 | Andrew Bryant Sonksen | Dentist | 1716 1st Ave South, Fort Dodge, IA 50501 | 2007-06-07 |
1720127475 | John H Garton | Dentist | 1210 3rd Avenue South, Fort Dodge, IA 50501 | 2007-02-06 |
1912043746 | Aaron Mobley | Chiropractor | 1234 Central Ave, Fort Dodge, IA 50501 | 2007-01-29 |
Find all providers in zip 50501 |
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 |
---|---|---|---|---|
1124396387 | Trimark Physicians Group | Allergy & Immunology | 800 Kenyon Rd, Suite S, Fort Dodge, IA 50501-5776 | 2011-12-02 |
1033181359 | Francisco G Peralta | Allergy & Immunology | 804 Kenyon Rd, Fort Dodge, IA 50501-5742 | 2006-02-02 |
1891771978 | Trimark Physicians Group Inc | Allergy & Immunology | 800 Kenyon Rd, Fort Dodge, IA 50501-5776 | 2005-12-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972869717 | Fadi H Alkhatib | Allergy & Immunology | 1701 22nd St Ste 207, West Des Moines, IA 50266-1443 | 2012-04-05 |
1174817134 | Vuong Anh Nayima | Allergy & Immunology | 5901 Westown Pkwy Ste 225, West Des Moines, IA 50266-8297 | 2011-06-07 |
1891027603 | Allergy and Asthma Associates of The Mississippi Valley, Pllc | Allergy & Immunology | 2112 E 38th St, Davenport, IA 52807-1135 | 2010-02-03 |
1992880777 | John M Weiler | Allergy & Immunology | 225 E. Burlington St., Iowa City, IA 52240 | 2006-10-27 |
1285714964 | Lyla Sue Schweiger | Allergy & Immunology | 4301 1st Ave Se, Cedar Rapids, IA 52402-3146 | 2006-10-16 |
1790708451 | Michael M Mccubbin | Allergy & Immunology | 1108 Washington Street, Pella, IA 50219 | 2006-07-25 |
1629048293 | Karen K Maves | Allergy & Immunology | 2112 E 38th Street, Davenport, IA 52807 | 2006-01-25 |
1760472146 | Allergy Partners, Pllc | Allergy & Immunology | 3500 Mount Vernon Rd Se, Cedar Rapids, IA 52403-3864 | 2005-10-26 |
1730172339 | Ronald William Graeff | Allergy & Immunology | 410 N 12th St Ste 100, Mahaska Health Partnership, Oskaloosa, IA 52577-2495 | 2005-08-30 |
1528068558 | Christopher Daniel Tumpkin | Allergy & Immunology | 4280 Sergeant Rd, #230, Sioux City, IA 51106-4634 | 2005-08-01 |
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City | FORT DODGE |
Zip Code | 50501 |
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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.