{"npi":"1104913417","type":"NPI-2","status":"active","name":{"display":"Allergy And Asthma Center, INC","other":[],"organization_name":"ALLERGY AND ASTHMA CENTER, INC","authorised_official":"Vidyashankar Revan"},"specialty":{"primary_taxonomy":"207K00000X","primary_taxonomy_description":"Allergy & Immunology Physician","slug":"allergy-immunology-physician","schema_org_specialty":null,"all":[{"code":"207K00000X","description":"Allergy & Immunology Physician","primary":true,"state":"OH","license":"35080833"}]},"addresses":[{"purpose":"LOCATION","street_1":"110 FAIRWAY DR","city":"WILMINGTON","state":"OH","postal_code":"451778756","country_code":"US","street_2":"SUITE # 2","phone":"9376559179","fax":"9376559139"},{"purpose":"MAILING","street_1":"110 FAIRWAY DR","city":"WILMINGTON","state":"OH","postal_code":"451778756","country_code":"US","street_2":"SUITE # 2","phone":"9376559179","fax":"9376559139"}],"license":{"state":"OH","number":"35080833"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"2321660","state":"OH","issuer":null},{"type_code":"01","label":"Other","value":"DD 2704","state":null,"issuer":"RAILROAD MEDICARE ID #"},{"type_code":"01","label":"Other","value":"000000237118","state":null,"issuer":"BLUECROSS AND BLUESHIELD"},{"type_code":"01","label":"Other","value":"0200482","state":null,"issuer":"UNITED HEALTH CARE"},{"type_code":"01","label":"Other","value":"D80833","state":null,"issuer":"HUMANA / CHOICE CARE ID"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-10-06","last_updated":"2020-08-22","_meta":{"source":"NPPES","snapshot_date":"2020-08-22","doc_url":"https://findmynpi.com/api"}}