ALLERGY & ASTHMA CARE OF SEDONA, LLC – NPI #1053500207
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.

ALLERGY & ASTHMA CARE OF SEDONA, LLC is an allergy & immunologist located in COTTONWOOD, AZ. NPPES has assigned the NPI number 1053500207 to ALLERGY & ASTHMA CARE OF SEDONA, LLC on October 23, 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 3 years ago on Jan 17, 2023. 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 ALLERGY & ASTHMA CARE OF SEDONA, LLC below.

NPI Profile for
ALLERGY & ASTHMA CARE OF SEDONA, LLC

NPI Number
1053500207
Enumeration Date

(more than 18 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
ALLERGY & ASTHMA CARE OF SEDONA, LLC
Primary location
450 S WILLARD ST STE 101
COTTONWOOD, AZ 86326-6744
Phone: (928) 284-0166 Fax: (928) 284-1810
Mailing address
9 N EUCLID AVE UNIT 404
SAINT LOUIS, MO 63108-1482
Phone: (928) 284-0166 Fax: (888) 435-3534
Organization Subpart
No
Authorized Official
GARY GOODMAN
PHYSICIAN OWNER
Phone: (314) 569-1881
Updated
Certification Date
Jan 17, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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)
AZ 30297

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.