MEDICARE: ALLERGY IMMUNOLOGY ASSOCIATES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207K00000X	Allergy & Immunology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1922212760
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLERGY IMMUNOLOGY ASSOCIATES INC

Provider Business Mailing Address
First Line	:	5915 LANDERBROOK DR
Second Line	:	STE. 110 ALLERGY IMMUNOLOGY ASSOC., INC.
City	:	MAYFIELD HEIGHTS
State	:	OH
Zip	:	44124-4039
Country	:	US
Telephone Number	:	216-381-3333
Fax Number	:	216-381-3002

Provider Business Practice Location Address
First Line	:	5915 LANDERBROOK DR
Second Line	:	STE. 110 ALLERGY IMMUNOLOGY ASSOC., INC.
City	:	MAYFIELD HEIGHTS
State	:	OH
Zip	:	44124-4039
Country	:	US
Telephone Number	:	216-381-3333
Fax Number	:	216-381-3002

Authorized Official
Title or Position	:	DOCTOR OWNER
Name	:	THEODORE SHER
Credential	:	MD
Telephone Number	:	216-381-3333

Provider Enumeration Date	:	05/10/2007
Last Update Date	:	08/16/2023

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