ALLERGY CLINIC,P.A. (NPI# 1255653192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255653192 |
| Entity Type | Organization |
| Organization Name | ALLERGY CLINIC,P.A. |
| Practice Address |
311 E Monroe Ave Jonesboro AR 72401-2923 |
| Practice Telephone | 8709721667 |
| Practice Fax Number | 8709720466 |
| Mailing Telephone | 8709721667 |
| Mailing Fax Number | 8709720466 |
| Enumeration Date | 2010-02-19 |
| Last Update Date | 2010-02-19 |
| Authorized Official Name | SCOT J. SNODGRASS (PHYISICAN) |
| Authorized Official Telephone | 8709721667 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 116452001 | 05 | |
| AR | BCBS | 53369 | 01 |
| Street Address |
311 E MONROE AVE |
| City | JONESBORO |
| State | AR |
| Zip Code | 72401-2923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871533026 | Scot Joseph Snodgrass | Specialist | 311 E Monroe Ave, Jonesboro, AR 72401-2923 | 2006-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407453368 | Mariah Kay Jackson | Physical Therapy Assistant | Creative Kids Therapy, Jonesboro, AR 72401 | 2020-10-05 |
| 1821606005 | Kafayat Folake Iyanda | Specialist/Technologist | 2105 East Aggie Rd, Jonesboro, AR 72401 | 2020-07-14 |
| 1053936310 | Josh Roberts | Physical Therapist | 1010 South Main St, Jonesboro, AR 72401 | 2020-06-12 |
| 1003449687 | Amy Mary Elizabeth Daughhetee | Nurse Practitioner | 225 East Washington Ave, Jonesboro, AR 72401 | 2020-02-21 |
| 1871126698 | Sarah Lowtharp | Clinical Nurse Specialist | 225 East Washington Ave., Jonesboro, AR 72401 | 2020-02-20 |
| 1891335519 | Mallori Miller | Case Manager/Care Coordinator | 837 Willett Rd, Jonesboro, AR 72401 | 2020-01-10 |
| 1265073704 | Michael Bruce Collie | Registered Nurse | 837 Williett Road, Jonesboro, AR 72401 | 2019-10-07 |
| 1285283432 | Jonesboro Ambulatory Surgery Center, LLC | Clinic/Center | 1710 Mayfield Dr, Jonesboro, AR 72401 | 2019-09-10 |
| 1841843943 | Destinee Katrina Cole | Specialist/Technologist | 2015 Aggie Rd, Jonesboro, AR 72401 | 2019-07-18 |
| 1699250472 | Jessica Marie Mcnatt | Occupational Therapist | 907 County Road 753, Jonesboro, AR 72401 | 2018-09-27 |
| Find all providers in zip 72401 | ||||
| Taxonomy Code | 207KA0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| Specialization | Allergy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356834550 | Advanced Allergy and Asthma Physicians Pllc | Allergy & Immunology | 500 S University Ave Ste 215, Little Rock, AR 72205-5304 | 2018-06-12 |
| 1548530694 | Hedberg Allergy and Asthma Center, Pa | Allergy & Immunology | 1585 E Rain Forest Rd, Fayettteville, AR 72703 | 2012-01-06 |
| 1871717033 | Teresa Renee Jeffers | Allergy & Immunology | 11614 Huron Ln Ste A, Little Rock, AR 72211-1896 | 2007-04-12 |
| 1356317440 | South Ark Ear Nose &throat Clinic P A | Allergy & Immunology | 1722 W 42nd Ave, Pine Bluff, AR 71603-7008 | 2006-02-27 |
| 1619947470 | Joseph William Matthews | Allergy & Immunology | 11614 Huron Ln, Suite A, Little Rock, AR 72211-1834 | 2006-01-25 |
| 1083606156 | Deanna N. Ruddell | Allergy & Immunology | 16101 Cantrell Rd Ste 104, Little Rock, AR 72223-4578 | 2005-08-16 |
| 1265727259 | Four Seasons Allergy and Asthma Clinic Pa | Allergy & Immunology | 11614 Huron Ln Ste A, Little Rock, AR 72211-1896 | 2011-06-17 |
| 1689883019 | Joseph W Matthews, Md, Pa | Allergy & Immunology | 11614 Huron Ln Ste A, Little Rock, AR 72211-1896 | 2007-05-22 |
| 1790812246 | Adesua Okupa Wejinya | Allergy & Immunology | 700 S 52nd St, Rogers, AR 72758-8605 | 2007-02-28 |
| 1427196807 | William J Bulkley M D P A | Allergy & Immunology | 1000 W Kingshighway, Ste # 3, Paragould, AR 72450-4141 | 2007-02-01 |
| Find all providers with the same taxonomy | ||||
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| 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.