STATUS ALLERGY CLINIC OF KINGSPORT (NPI# 1972811503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972811503 |
| Entity Type | Organization |
| Organization Name | STATUS ALLERGY CLINIC OF KINGSPORT |
| Practice Address |
1516 Bridgewater Dr. Kingsport TN 37660 |
| Mailing Address |
P.o. Box 3490 Kingsport TN 37664 |
| Practice Telephone | 4232471122 |
| Practice Fax Number | 4232473856 |
| Mailing Telephone | 4232471122 |
| Mailing Fax Number | 4232473856 |
| Enumeration Date | 2010-09-16 |
| Last Update Date | 2010-09-16 |
| Authorized Official Name | NALINCHANDRA GOPALDAS SHAH (PRESIDENT - MD) |
| Authorized Official Telephone | 4232471122 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
MD0000015776 | TN | Allopathic & Osteopathic Physicians |
| Y | 207K00000X | Allergy & Immunology | MD0000015776 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64663172 | 05 |
| Street Address |
1516 BRIDGEWATER DR. |
| City | KINGSPORT |
| State | TN |
| Zip Code | 37660 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750909891 | Nancy Gober | Pharmacist | Holston Valley Medical Center Inpatient Pharmacy, 130 W Ravine, Kingsport, TN 37660 | 2020-07-06 |
| 1700437621 | Tammy Denise Leblanc | Technician | 125 Lancer Rd, Kingsport, TN 37660 | 2019-09-23 |
| 1831743392 | Independent Physical Therapy | Occupational Therapist | 1704 E. Stone Dr. Ste 120, Kingsport, TN 37660 | 2019-08-01 |
| 1871095315 | Macie Anderson | Nurse Practitioner | 411 Clay St, Kingsport, TN 37660 | 2018-03-01 |
| 1053813527 | Pulitzer Orthodontics, LLC | Dentist | 1200 Pulitzer Place, Kingsport, TN 37660 | 2018-03-01 |
| 1174038749 | Sbh-kingsport | Psychiatric Hospital | 1025 Executive Park Blvd, Kingsport, TN 37660 | 2017-12-05 |
| 1548771447 | Sara B Ball | Registered Nurse | 111 W Stone Dr Ste 240, Kingsport, TN 37660 | 2017-10-18 |
| 1821525361 | Ashley Brook Weems | Nurse Practitioner | Six Sheridan Square Suite 100, Kingsport, TN 37660 | 2017-05-15 |
| 1639625643 | Stephanie H Garris | Nurse Practitioner | 117 W Sevier Ave Ste 120, Kingsport, TN 37660 | 2016-08-30 |
| 1073965679 | Teresa Anne Starke | Physician Assistant | 8 Sheridan Square, Suite 110, Kingsport, TN 37660 | 2016-07-07 |
| Find all providers in zip 37660 | ||||
| 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 |
|---|---|---|---|---|
| 1417016346 | Nalinchandra Gopaldas Shah | Allergy & Immunology | 1516 Bridgewater Ln, Kingsport, TN 37664 | 2006-12-06 |
| 1396903126 | Parminderjit Singh | Allergy & Immunology | 130 W. Ravine Rd., Kingsport, TN 37660 | 2008-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295226157 | Jackson Allergy & Asthma Clinic Pllc | Allergy & Immunology | 464 N Parkway Ste D, Jackson, TN 38305-2810 | 2018-05-25 |
| 1619474855 | Allergy & Asthma Affiliates, PC | Allergy & Immunology | 116 Concord Rd Ste 200, Farragut, TN 37934-2951 | 2018-04-12 |
| 1588181580 | The Tankersley Clinic, Pllc | Allergy & Immunology | 1458 W Poplar Ave Ste 205, Collierville, TN 38017-0631 | 2017-08-29 |
| 1033482237 | Allergy Partners, Pa | Allergy & Immunology | 124 Lynnwood Dr, Knoxville, TN 37918-3306 | 2012-02-17 |
| 1396017018 | Shirley Bannister Avery | Allergy & Immunology | 822 Westborough Rd, Knoxville, TN 37909 | 2012-01-27 |
| 1932486388 | Joe S Levy, M.d., P.C. | Allergy & Immunology | 6263 Poplar Ave Ste 525, Memphis, TN 38119-4701 | 2011-11-14 |
| 1851673735 | Allergy & Asthma Affiliates, PC | Allergy & Immunology | 1060 Oak Ridge Turnpike, Oak Ridge, TN 37830-6439 | 2011-09-15 |
| 1952682098 | Allergy & Asthma Affiliates, PC | Allergy & Immunology | 808 W 4th North St, Morristown, TN 37814-3813 | 2011-09-02 |
| 1821237975 | John Francis Tures | Allergy & Immunology | 405 Shackleford Ct, Nashville, TN 37215-3500 | 2009-02-12 |
| 1821265000 | Nora Daher | Allergy & Immunology | 2136 Exeter Rd Ste 103, Germantown, TN 38138-3935 | 2008-05-15 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on STATUS ALLERGY CLINIC OF KINGSPORT.
| 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.