| Asthma & Allergy Specialists, P.a. | |
|
8045 Providence Rd Ste 300 Charlotte NC 28277 | |
| (704) 341-9600 | |
| (704) 341-9996 |
| Full Name | Asthma & Allergy Specialists, P.a. |
|---|---|
| Speciality | Specialist |
| Location | 8045 Providence Rd Ste 300, Charlotte, North Carolina |
| Authorized Official Name and Position | Heather Hill (PRACTICE MANAGER) |
| Authorized Official Contact | 7043419600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Asthma & Allergy Specialists, P.a. 8045 Providence Rd Ste 300 Charlotte NC 28277-8915 Ph: (704) 341-9600 | Asthma & Allergy Specialists, P.a. 8045 Providence Rd Ste 300 Charlotte NC 28277 Ph: (704) 341-9600 |
| NPI Number | 1013093038 |
|---|---|
| Provider Enumeration Date | 10/31/2006 |
| Last Update Date | 04/10/2024 |
| Medicare PECOS PAC ID | 7719086396 |
|---|---|
| Medicare Enrollment ID | O20070621000753 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013093038 | NPI | - | NPPES |
| NPA690 | Medicaid | SC | |
| 890230P | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 174400000X | Specialist | (* (Not Available)) | Primary |
| Provider Name | Jennifer L Caicedo |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1043490113 PECOS PAC ID: 3971647017 Enrollment ID: I20100212000578 |
| Provider Name | Charles Humphries |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1326154824 PECOS PAC ID: 9537268115 Enrollment ID: I20120522001075 |
| Provider Name | Douglas Thomas Johnston |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1124048079 PECOS PAC ID: 5294707220 Enrollment ID: I20130308000513 |
| Provider Name | Vandana K Patel |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1821037524 PECOS PAC ID: 9931354370 Enrollment ID: I20130308000516 |
| Provider Name | Raquel Durban |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1922369222 PECOS PAC ID: 0345486254 Enrollment ID: I20130422000015 |
| Provider Name | William S Ashe |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1891801262 PECOS PAC ID: 1456576784 Enrollment ID: I20140630002015 |
Carolina Medicorp Enterprises Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 445 South Kings Drive, Charlotte, NC 28204 Phone: 704-384-1734 Fax: 704-384-1736 | |
Novant Health Medical Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1900 Randolph Rd, Suite 216, Charlotte, NC 28207 Phone: 704-384-5416 Fax: 704-384-5996 | |
Carolinas Physicians Network Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10660 Park Rd, Ste 4400, Charlotte, NC 28210 Phone: 704-355-0607 | |
Amity Medical Group, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6010 E W T Harris Blvd, Charlotte, NC 28215 Phone: 704-208-4134 Fax: 704-248-8068 | |
Companion Health, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5029 Lady Fern Cir, Charlotte, NC 28211 Phone: 704-236-2658 | |
Novant Health Medical Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7110 Lawyers Rd, Charlotte, NC 28227 Phone: 704-537-0020 Fax: 704-316-8634 |