MEDICARE: ALLERGY & ASTHMA ASSOCIATES

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	:	1437353679
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLERGY & ASTHMA ASSOCIATES

Provider Business Mailing Address
First Line	:	2359 LAKEVIEW DRIVE
Second Line	:
City	:	BEAVER CREEK
State	:	OH
Zip	:	45431-3695
Country	:	US
Telephone Number	:	937-431-0721
Fax Number	:	937-431-5419

Provider Business Practice Location Address
First Line	:	5211 WAYNETOWNE COURT
Second Line	:
City	:	HUBER HEIGHTS
State	:	OH
Zip	:	45424-2124
Country	:	US
Telephone Number	:	937-237-5101
Fax Number	:	937-233-5844

Authorized Official
Title or Position	:	OWNER PRESIDENT PHYSICIAN
Name	:	DR. WILLIAM A PARKER JR.
Credential	:	MD
Telephone Number	:	937-431-0721

Provider Enumeration Date	:	06/12/2007
Last Update Date	:	11/13/2007

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