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DEARBORN ALLERGY & ASTHMA CLINIC PC
NPI 1477545200
Allergy & Immunology - Clinical & Laboratory Immunology in Dearborn, MI

Active since August 18, 2005
20200 OUTER DR, DEARBORN, MI 48124(313) 565-3565(313) 565-7723 Get Directions Write a Review

NPPES record last updated: April 24, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dearborn Allergy & Asthma Clinic Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEARBORN ALLERGY & ASTHMA CLINIC PC (NPI 1477545200) is a healthcare organization registered as a clinical & laboratory immunology in Dearborn, Michigan and active in the NPI registry since August 2005. The organization lists Kathy Short, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1477545200
Entity TypeOrganization
Primary Taxonomy207KI0005X
Legal Business NameDEARBORN ALLERGY & ASTHMA CLINIC PC
Location Address20200 OUTER DRDearborn, MI 48124-2634
Mailing Address20200 Outer DrDearborn, MI 48124-2634 · (313) 565-3565 · Fax (313) 565-7723
Phone(313) 565-3565
Fax(313) 565-7723
Organization SubpartNo
Authorized OfficialKathy ShortOffice Manager · (313) 565-3565
Enumeration DateAugust 18, 2005
Last NPPES UpdateApril 24, 2012
✔ NPI 1477545200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAllergy & Immunology · Clinical & Laboratory ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207KI0005X
Definition
An allergy and immunology physician who specializes in clinical and laboratory immunology disease management. Source: National Uniform Claim Committee, 2022 Additional Resources: A certification was, but is no longer, issued by the American Board of Allergy and Immunology.
20200 OUTER DR, Dearborn, MI 48124
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Other Identifiers 8

Other0H26340MI · Blue Cross
Medicare UPINB46304MI
Medicaid2838806MI
Medicaid1083483MI
Medicaid1290003MI
Medicare UPINF27419MI
Medicare ID-Type Unspecified0H26340MI
Medicare UPINA76754MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PREMIER CARDIOVASCULAR SPECIALISTS PC
Internal Medicine (Cardiovascular Disease)
20200 OUTER DR
DEARBORN, MI 48124
Wayne County (313) 624-8417
HENRY FORD PHYSICIAN PARTNERS
Internal Medicine (Cardiovascular Disease)
20200 OUTER DR
DEARBORN, MI 48124
Wayne County (313) 624-8417
NISREEN EL-SAGHIR PA-C
Physician Assistant
20200 OUTER DR
DEARBORN, MI 48124
Wayne County (313) 624-8417
KRISTINE KAISER MD
Internal Medicine (Cardiovascular Disease)
20200 OUTER DR
DEARBORN, MI 48124
Wayne County (313) 624-8417
DR. GREGORY DAVID HAZERGIAN D.O.
Internal Medicine (Cardiovascular Disease)
20200 OUTER DR
DEARBORN, MI 48124
Wayne County (313) 624-8417
MRS. KRISTIE K GREEAR PA-C
Physician Assistant
20200 OUTER DR
DEARBORN, MI 48124
Wayne County (313) 914-4590
ALLISON PLOSKONKA PA-C
Physician Assistant
20200 OUTER DR
DEARBORN, MI 48124
Wayne County (313) 624-8417

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dearborn Allergy & Asthma Clinic PC's NPI number?

The NPI number for Dearborn Allergy & Asthma Clinic PC is 1477545200. It was assigned to this organization in the NPPES registry on August 18, 2005.

Where is Dearborn Allergy & Asthma Clinic PC located?

Dearborn Allergy & Asthma Clinic PC is located at 20200 Outer Dr, Dearborn, MI 48124. The listed phone number is (313) 565-3565.

What is Dearborn Allergy & Asthma Clinic PC's specialty?

The primary specialty registered for this NPI is Allergy & Immunology, specializing in Clinical & Laboratory Immunology, with taxonomy code 207KI0005X.

What insurance does Dearborn Allergy & Asthma Clinic PC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Dearborn Allergy & Asthma Clinic PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dearborn Allergy & Asthma Clinic PC was last updated on April 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.