CENTERS FOR ALLERGY, ASTHMA AND IMMUNE DISORDERS PC


Address: 804 Kenyon Rd, Fort Dodge, IA 50501-5742
Phone: 5155746830

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207K00000X Allergy & Immunology 29873 IA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IA 3179507 05

Office Location

Street Address 804 KENYON RD
City FORT DODGE
State IA
Zip Code 50501-5742

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207K00000X
Grouping Allopathic & Osteopathic Physicians
Classification Allergy & Immunology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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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Competitor

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City FORT DODGE
Zip Code 50501

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Dataset Information

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.

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