ADVANCED ALLERGY AND ASTHMA PHYSICIANS PLLC (NPI# 1356834550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356834550 |
| Entity Type | Organization |
| Organization Name | ADVANCED ALLERGY AND ASTHMA PHYSICIANS PLLC |
| Other Organization Name | ADVANCED ALLERGY AND ASTHMA |
| Practice Address |
500 S University Ave Ste 215 Little Rock AR 72205-5304 |
| Practice Telephone | 5014201085 |
| Practice Fax Number | 5014201457 |
| Mailing Telephone | 5014201085 |
| Mailing Fax Number | 5014201457 |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2018-06-12 |
| Authorized Official Name | DONNA MELISSA GRAHAM (OWNER) |
| Authorized Official Telephone | 5014201085 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Advanced Allergy and Asthma | Doing Business As Name - Organization |
| Street Address |
500 S UNIVERSITY AVE STE 215 |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72205-5304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932719465 | Darleisha Renee Stigall | Behavior Technician | 1210 Aldersdate Rd, Little Rock, AR 72205 | 2020-08-10 |
| 1316563638 | Unknown Amisha | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot #634, University of Arkansas, Little Rock, AR 72205 | 2020-06-23 |
| 1225667272 | Ann-marie Frances Hayre | Student in an Organized Health Care Education/Training Program | 4310 West Markham, Slot 589, Little Rock, AR 72205 | 2020-04-02 |
| 1952930075 | Alexandria Leigh Smith | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot 531, Little Rock, AR 72205 | 2020-04-02 |
| 1093353922 | Phil Fagala | Pharmacist | 614 North Beechwood, Little Rock, AR 72205 | 2019-12-10 |
| 1295391688 | Home To Community Living, Inc | Physical Therapist | 10201 W Markham Street Pulaski, Little Rock, AR 72205 | 2019-05-12 |
| 1669933693 | Sandy Louise Webb | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 530, Little Rock, AR 72205 | 2019-03-31 |
| 1457812828 | Vincent Battafarano | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 602, Little Rock, AR 72205 | 2019-03-28 |
| 1063978922 | Franks Pediatric Occupational Therapy LLC | Occupational Therapist | 5516 C St, Little Rock, AR 72205 | 2019-02-15 |
| 1497210199 | Integrative Counseling Center LLC | Counselor | 10515 W Markham St Ste D3, Little Rock, AR 72205 | 2019-02-06 |
| Find all providers in zip 72205 | ||||
| Taxonomy Code | 207KA0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| Specialization | Allergy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871717033 | Teresa Renee Jeffers | Allergy & Immunology | 11614 Huron Ln Ste A, Little Rock, AR 72211-1896 | 2007-04-12 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548530694 | Hedberg Allergy and Asthma Center, Pa | Allergy & Immunology | 1585 E Rain Forest Rd, Fayettteville, AR 72703 | 2012-01-06 |
| 1356317440 | South Ark Ear Nose &throat Clinic P A | Allergy & Immunology | 1722 W 42nd Ave, Pine Bluff, AR 71603-7008 | 2006-02-27 |
| 1255653192 | Allergy Clinic,p.a. | Allergy & Immunology | 311 E Monroe Ave, Jonesboro, AR 72401-2923 | 2010-02-19 |
| 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 |
| City | LITTLE ROCK |
| Zip Code | 72205 |
Please comment or provide details below to improve the information on ADVANCED ALLERGY AND ASTHMA PHYSICIANS PLLC.
| 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.