Provider Demographics
NPI:1306913959
Name:CINCINNATI ALLERGY & ASTHMA CENTER INC
Entity type:Organization
Organization Name:CINCINNATI ALLERGY & ASTHMA CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:STEFANIE
Authorized Official - Middle Name:L
Authorized Official - Last Name:RAPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-229-9121
Mailing Address - Street 1:7495 STATE RD
Mailing Address - Street 2:SUITE 350
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45255-2498
Mailing Address - Country:US
Mailing Address - Phone:513-624-1902
Mailing Address - Fax:513-624-1906
Practice Address - Street 1:7495 STATE RD STE 350
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45255-6403
Practice Address - Country:US
Practice Address - Phone:513-229-9120
Practice Address - Fax:513-231-0223
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-29
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0952563Medicaid
OH9261961Medicare PIN
KYP39149Medicare UPIN
OHA16256Medicare UPIN
KYS65971Medicare UPIN
OH0952563Medicaid
OH9261966Medicare PIN
OHA78349Medicare UPIN
OH9261962Medicare PIN