IDAHO ALLERGY & ASTHMA CLINIC PA – NPI #1003949298
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.

IDAHO ALLERGY & ASTHMA CLINIC PA is an allergy & immunologist located in IDAHO FALLS, ID. NPPES has assigned the NPI number 1003949298 to IDAHO ALLERGY & ASTHMA CLINIC PA on March 14, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207K00000X from the Health Care Provider Taxonomy code set, which is classified as Allergy & Immunology.

The NPI profile was previously updated about 7 years ago on Jun 21, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for IDAHO ALLERGY & ASTHMA CLINIC PA below.

NPI Profile for
IDAHO ALLERGY & ASTHMA CLINIC PA

NPI Number
1003949298
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
IDAHO ALLERGY & ASTHMA CLINIC PA
Primary location
3422 S 15TH E
IDAHO FALLS, ID 83404-8262
Phone: (208) 529-9292 Fax: (208) 523-2397
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
WENDELL PETTY
PRESIDENT
Phone: (208) 529-9292
Updated
Identifiers

Identifiers for IDAHO ALLERGY & ASTHMA CLINIC PA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBLUE CROSSID8N147
OTHERBLUE SHIELDID0000100004631
OTHERRAILROAD MEDICAREIDDG4709
MEDICAIDID002516900
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207K00000X
- Allergy & Immunology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.