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PEDIATRIC & ADULT ALLERGY ASTHMA & IMMUNOLOGY SPECIALISTS, LLC
NPI 1790801512
Allergy & Immunology in Fort Wayne, IN

Active since March 22, 2007
3030 LAKE AVE, SUITE 27, FORT WAYNE, IN 46805(260) 422-5569(260) 422-6086 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pediatric & Adult Allergy Asthma & Immunology Specialists, Llc NPPES

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

PEDIATRIC & ADULT ALLERGY ASTHMA & IMMUNOLOGY SPECIALISTS, LLC (NPI 1790801512) is a healthcare organization registered as an allergy & immunology in Fort Wayne, Indiana and active in the NPI registry since March 2007. The organization lists Monica S Nelson, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1790801512
Entity TypeOrganization
Primary Taxonomy207K00000X
Legal Business NamePEDIATRIC & ADULT ALLERGY ASTHMA & IMMUNOLOGY SPECIALISTS, LLC
Location Address3030 LAKE AVE, SUITE 27Fort Wayne, IN 46805-5428
Mailing Address3030 Lake Ave, Suite 27Fort Wayne, IN 46805-5428 · (260) 422-5569 · Fax (260) 422-6086
Phone(260) 422-5569
Fax(260) 422-6086
Organization SubpartNo
Authorized OfficialMonica S NelsonBusiness Manager · (260) 422-5569
Enumeration DateMarch 22, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1790801512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207K00000X
Definition
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
3030 LAKE AVE, Fort Wayne, IN 46805
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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

Other Providers at the Same Location NPPES 19

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

JAMES A SHUPE JR. DDS
Dentist (Pediatric Dentistry)
3030 LAKE AVE, SUITE 15
FORT WAYNE, IN 46805
Allen County (260) 422-8419
THOMAS P VAN DEN DRIESSCHE M.D.
Family Medicine
3030 LAKE AVE, SUITE32
FORT WAYNE, IN 46805
Allen County (260) 424-3134
LITTLE TURTLE PEDIATRICS, P.C.
Pediatrics (Adolescent Medicine)
3030 LAKE AVE, SUITE 10
FORT WAYNE, IN 46805
Allen County (260) 422-2448
INTERDISCIPLINARY DIAGNOSTIC AND EVALUATION CENTER, INC.
Clinic/Center (Developmental Disabilities)
3030 LAKE AVE, SUITE 7
FORT WAYNE, IN 46805
Allen County (260) 422-2838
JAMES A SHUPE DDS, DENTISTRY FOR CHILDREN, INC
Dentist (Pediatric Dentistry)
3030 LAKE AVE, SUITE 15
FORT WAYNE, IN 46805
Allen County (260) 422-8419
MICHAEL FELIX BARILE D.C.,P.T.
Physical Therapist
3030 LAKE AVE, 26
FORT WAYNE, IN 46805
Allen County (260) 420-4400
JENNIFER A CHAPMAN P.T.
Physical Therapist
3030 LAKE AVE, SUITE 24
FORT WAYNE, IN 46805
Allen County (260) 424-8830
DRS. NELSON & MENON
Allergy & Immunology
3030 LAKE AVE, SUITE 27
FORT WAYNE, IN 46805
Allen County (260) 422-5569

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 Pediatric & Adult Allergy Asthma & Immunology Specialists, LLC's NPI number?

The NPI number for Pediatric & Adult Allergy Asthma & Immunology Specialists, LLC is 1790801512. It was assigned to this organization in the NPPES registry on March 22, 2007.

Where is Pediatric & Adult Allergy Asthma & Immunology Specialists, LLC located?

Pediatric & Adult Allergy Asthma & Immunology Specialists, LLC is located at 3030 Lake Ave Suite 27, Fort Wayne, IN 46805. The listed phone number is (260) 422-5569.

What is Pediatric & Adult Allergy Asthma & Immunology Specialists, LLC's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

When was this NPI record last updated?

The NPPES record for Pediatric & Adult Allergy Asthma & Immunology Specialists, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.