ST CLAIR ALLERGY & ASTHMA CENTER (NPI# 1902805070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902805070 |
| Entity Type | Organization |
| Organization Name | ST CLAIR ALLERGY & ASTHMA CENTER |
| Other Organization Name | EAST AREA ALLERGY & ASTHMA CENTER |
| Practice Address |
17770 Mack Ave Grosse Pointe MI 48230-6248 |
| Practice Telephone | 3138856367 |
| Practice Fax Number | 3138855086 |
| Mailing Telephone | 3138856367 |
| Mailing Fax Number | 3138855086 |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JENNIFER KAY APPLEYARD (PRESIDENT) |
| Authorized Official Telephone | 3138856367 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | 3747 | MI | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| EAST AREA ALLERGY & ASTHMA CENTER | Doing Business As Name - Organization |
| Street Address |
17770 MACK AVE |
| City | GROSSE POINTE |
| State | MI |
| Zip Code | 48230-6248 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386643526 | Debra Ann Togger | Nurse Practitioner | 17770 Mack Ave, Grosse Pointe, MI 48230-6248 | 2005-07-19 |
| 1467446633 | Michael E Rollins Md | Otolaryngology | 17770 Mack Ave, Grosse Pointe, MI 48230-6248 | 2005-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518573450 | Burd Home Health LLC | In Home Supportive Care | 15001 Kerchezal Ave Unit #2042, Grosse Point Park, MI 48230 | 2020-09-16 |
| 1962924886 | Michelle Kathleen Harr | Speech-Language Pathologist | 1356 Bishop Rd, Grosse Pointe Park, MI 48230 | 2017-07-12 |
| 1356711766 | Jerry George Idicula | Behavioral Analyst | 1332 Maryland St, Grosse Pointe Park, MI 48230 | 2015-09-28 |
| 1578939930 | Sierra Gray | Contractor | 890 Cadieux, Grosse Pointe, MI 48230 | 2015-08-19 |
| 1023413853 | Cristovao Bartolo Carreira | Psychologist | 15450 E. Jefferson, Suite 200, Grosse Pointe, MI 48230 | 2014-10-22 |
| 1215217005 | Nui Loa PC | Community/Behavioral Health | 502 Pemberton, Grosse Pointe Park, MI 48230 | 2011-08-24 |
| 1295041846 | Greg Washington LLC | Psychiatry & Neurology | 793 Harcourt, Grosse Pointe Park, MI 48230 | 2010-08-20 |
| 1649445867 | Philip Charles Hessburg | Ophthalmology | 15415 E Jefferson Street, Grosse Pointe Park, MI 48230 | 2008-04-29 |
| 1437289071 | John Boyd Krisel Jr. | Social Worker | 15200 E Jefferson, Suite 105, Grosse Pointe Park, MI 48230 | 2007-03-06 |
| 1346382819 | Robert James Sisler | Social Worker | 15200 East Jefferson, Suite 105, Grosse Pointe Park, MI 48230 | 2007-02-13 |
| Find all providers in zip 48230 | ||||
| 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 |
|---|---|---|---|---|
| 1144688854 | Hussein Azzam | Allergy & Immunology | 46325 W 12 Mile Rd Ste 215, Novi, MI 48377 | 2016-02-09 |
| 1417360660 | Allergy & Asthma Physicians of Troy, P.C. | Allergy & Immunology | 4600 Investment Drive, Suite # 110, Suite # 110, Troy, MI 48098-6366 | 2014-06-05 |
| 1861834095 | Herald Allen Habenicht | Allergy & Immunology | 10516 Range Line Rd, Berrien Springs, MI 49103-9203 | 2013-07-30 |
| 1386991461 | Lee D. Baylis, M.d. Pllc | Allergy & Immunology | 5825 S Main St Ste 203, Clarkston, MI 48346-2983 | 2012-08-08 |
| 1134485139 | James Austin Womack | Allergy & Immunology | 2310 W Mcnichols Rd, Detroit, MI 48221 | 2012-04-04 |
| 1023380797 | Leonard Samuel Gell | Allergy & Immunology | 7650 Conservation St Ne, Ada, MI 49301-9522 | 2012-01-27 |
| 1295065126 | Richard Kurt Vonmaur | Allergy & Immunology | 10653 Sudan St, Portage, MI 49002-7373 | 2009-12-24 |
| 1700038684 | James C Breneman | Allergy & Immunology | 10571 Miller Dr, Galesburg, MI 49053-8607 | 2008-10-22 |
| 1245493527 | Rachel Karman Kado | Allergy & Immunology | 20228 Farmington Rd, Livonia, MI 48152-1412 | 2008-07-07 |
| 1992979223 | Rasem David Ghannam | Allergy & Immunology | 15386 Mcleans, Spring Lake, MI 49456-2129 | 2008-04-17 |
| Find all providers with the same taxonomy | ||||
| City | GROSSE POINTE |
| Zip Code | 48230 |
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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.