ASTHMA & ALLERGY OF IDAHO PLLC – NPI #1427138734
Allergy & Immunology

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

ASTHMA & ALLERGY OF IDAHO PLLC is an allergy & immunologist located in TWIN FALLS, ID. NPPES has assigned the NPI number 1427138734 to ASTHMA & ALLERGY OF IDAHO PLLC on October 17, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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 5 years ago on Jan 14, 2021. 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 ASTHMA & ALLERGY OF IDAHO PLLC below.

NPI Profile for
ASTHMA & ALLERGY OF IDAHO PLLC

NPI Number
1427138734
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
ASTHMA & ALLERGY OF IDAHO PLLC
Primary location
1502 LOCUST ST N STE 600
TWIN FALLS, ID 83301-4164
Phone: (208) 734-6091 Fax: (208) 734-4654
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ANDREW WICKERN
CREDENTIALING SPECIALIST
Phone: (208) 734-6091
Updated
Certification Date
Jan 14, 2021

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.

Identifiers

Identifiers for ASTHMA & ALLERGY OF IDAHO PLLC

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.

See identifiers
DescriptionIssuerStateIdentifier
MEDICAIDID002736103
MEDICAIDID002736101
MEDICAIDID002736104
MEDICAIDID002736100
MEDICAIDID002736102
MEDICAIDID807562300
MEDICAIDID002736105
MEDICAIDID002736200
MEDICAIDID002736202
MEDICAIDID807562301
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)

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.