SOUTHERN UTAH ALLERGY AND ASTHMA CLINIC PC (NPI# 1124163902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124163902 |
| Entity Type | Organization |
| Organization Name | SOUTHERN UTAH ALLERGY AND ASTHMA CLINIC PC |
| Other Organization Name | SOUTHWEST ALLERGY AND ASTHMA CLINIC PC |
| Practice Address |
515 S 300 E Ste 101 Saint George UT 84770-3931 |
| Practice Telephone | 4356881128 |
| Practice Fax Number | 4356734045 |
| Mailing Telephone | 4356881128 |
| Mailing Fax Number | 4356734045 |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2012-03-13 |
| Authorized Official Name | KENNETH R PINNA (PRESIDENT) |
| Authorized Official Telephone | 4356881128 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | 5416150-1205 | UT | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Southwest Allergy and Asthma Clinic PC | Doing Business As Name - Organization |
| Street Address |
515 S 300 E STE 101 |
| City | SAINT GEORGE |
| State | UT |
| Zip Code | 84770-3931 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740808500 | Redstone Reference Laboratories Inc | Clinical Medical Laboratory | 556 N Dixie Drive, Suite 2, St George, UT 84770 | 2020-07-08 |
| 1033776315 | Ecko Ashmore | Marriage & Family Therapist | 1173 S. 250 W. Bld 1 Ste 208, St. George, UT 84770 | 2019-05-22 |
| 1740844679 | Amy Darragh | Behavior Technician | 249 E Tabernacle St, Ste 100, St George, UT 84770 | 2019-04-25 |
| 1124598198 | Loren Kyle Gulbranson | Internal Medicine | Dixie Regional Medical Center, 515 South, 300 East, Saint George, UT 84770 | 2018-12-03 |
| 1487150728 | Sound Sleep Medical LLC | Durable Medical Equipment & Medical Supplies | 640 East 700 South Building 2, St. George, UT 84770 | 2018-04-04 |
| 1588162911 | Desert Edge Medical | Family Medicine | 1664 S Dixie Dr Ste D201, St George, UT 84770 | 2018-01-31 |
| 1568981314 | Jeffrey Joseph Peterson | Behavior Technician | 162 N 400 E Ste A-105, St. George, UT 84770 | 2017-09-13 |
| 1992242549 | Zachary Carey | Specialist/Technologist | 1115 W Diamond Valley Dr, Saint George, UT 84770 | 2017-01-20 |
| 1669920427 | Charles Taylor Church | Technician, Other | 474 West 200 East, St. George, UT 84770 | 2016-09-21 |
| 1952755480 | Hollystic Hideaway | Voluntary or Charitable | 1418 W Sunset Blvd. # 2, Saint George, UT 84770 | 2016-04-21 |
| Find all providers in zip 84770 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | 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. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912562240 | Edwin Ansell Bronsky | Allergy & Immunology | 3700 E Millstream Dr, Salt Lake City, UT 84109-3221 | 2019-05-02 |
| 1295989630 | Dorian J Carroll | Allergy & Immunology | 6095 Fashion Blvd Ste 100, Murray, UT 84107-7377 | 2008-11-12 |
| 1639369853 | Loida Viera-hutchins | Allergy & Immunology | 5296 S Commerce Dr, Murray, UT 84107-4767 | 2007-07-25 |
| 1447460274 | Ahmad Sami Halwani | Allergy & Immunology | Health Information Dpt of Utah Hospital, 50 North Medical Drive, Room Aa241 Som, Salt Lake City, UT 84132-0001 | 2007-05-23 |
| 1164468955 | Andrew Smith | Allergy & Immunology | 6095 S Fashion Blvd Ste 100, Murray, UT 84107-7377 | 2006-06-21 |
| 1700859907 | Eric C Chenworth | Allergy & Immunology | 24 S 1100 E Ste 201, Salt Lake City, UT 84102-1554 | 2006-02-08 |
| 1154307197 | Marc O Anderson | Allergy & Immunology | 2121 No 1700 W, Layton, UT 84041 | 2005-12-21 |
| 1912906330 | Charles Mitchell Rogers | Allergy & Immunology | 6095 Fashion Blvd, Suite# 100, Murray, UT 84107-7397 | 2005-07-18 |
| 1275535411 | Duane Jones Harris | Allergy & Immunology | 12422 S 450 E, Ste C, Draper, UT 84020-5645 | 2005-06-01 |
| 1972505212 | Alan Fetzer Bitner | Allergy & Immunology | 389 South 900 East, Salt Lake City, UT 84102 | 2005-06-01 |
| Find all providers with the same taxonomy | ||||
| City | SAINT GEORGE |
| Zip Code | 84770 |
Please comment or provide details below to improve the information on SOUTHERN UTAH ALLERGY AND ASTHMA CLINIC PC.
| 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.