Provider Demographics
NPI:1922212760
Name:ALLERGY IMMUNOLOGY ASSOCIATES INC
Entity Type:Organization
Organization Name:ALLERGY IMMUNOLOGY ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OWNER
Authorized Official - Prefix:
Authorized Official - First Name:THEODORE
Authorized Official - Middle Name:
Authorized Official - Last Name:SHER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:216-381-3333
Mailing Address - Street 1:5915 LANDERBROOK DR
Mailing Address - Street 2:STE. 110 ALLERGY IMMUNOLOGY ASSOC., INC.
Mailing Address - City:MAYFIELD HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44124-4039
Mailing Address - Country:US
Mailing Address - Phone:216-381-3333
Mailing Address - Fax:216-381-3002
Practice Address - Street 1:5915 LANDERBROOK DR
Practice Address - Street 2:STE. 110 ALLERGY IMMUNOLOGY ASSOC., INC.
Practice Address - City:MAYFIELD HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44124-4039
Practice Address - Country:US
Practice Address - Phone:216-381-3333
Practice Address - Fax:216-381-3002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-10
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2189082Medicaid
OH2189082Medicaid