ALLERGY, ASTHMA & FOOD CENTERS OF ST. LOUIS – NPI #1417034695
Allergy & Immunology

A physician who specializes in the diagnosis, treatment, and management of allergies.

Health Care Provider Taxonomy Code for Allergy & Immunology

ALLERGY, ASTHMA & FOOD CENTERS OF ST. LOUIS is an allergy & immunologist located in SAINT LOUIS, MO. NPPES has assigned the NPI number 1417034695 to ALLERGY, ASTHMA & FOOD CENTERS OF ST. LOUIS on November 01, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ALLERGY, ASTHMA & FOOD CENTERS OF ST. LOUIS” is a dba name, the actual legal business name for this organization is ALLERGY, ASTHMA & SINUS CARE CENTER, LLC. The primary taxonomy selected by this provider is 207KA0200X from the Health Care Provider Taxonomy code set, which is classified as Allergy & Immunology, specializing in Allergy

The NPI profile was previously updated about 6 years ago on Mar 18, 2020. 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 & FOOD CENTERS OF ST. LOUIS below.

NPI Profile for
ALLERGY, ASTHMA & SINUS CARE CENTER, LLC

NPI Number
1417034695
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
ALLERGY, ASTHMA & SINUS CARE CENTER, LLC
Doing Business As (dba): ALLERGY, ASTHMA & FOOD CENTERS OF ST. LOUIS
Primary location
9701 LANDMARK PARKWAY DR STE 207
SAINT LOUIS, MO 63127-1665
Phone: (314) 849-8700 Fax:
1 Other location(s):
12818 Tesson Ferry Rd
Suite 103
Saint Louis, MO 63128-2945
Phone: (314) 849-8700
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MICHAEL BORTS
PRESIDENT
Phone: (314) 849-8700
Updated
Certification Date
Mar 18, 2020

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
207KA0200X
- Allergy & Immunology / Allergy (Primary)		 MO R5G81

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.