ASTHMA & ALLERGY OF IDAHO PLLC
NPI 1427138734
Allergy & Immunology - Allergy in Twin Falls, ID

NPI Status: Active since October 17, 2006

Contact Information

1502 LOCUST ST N STE 600
TWIN FALLS, ID
ZIP 83301
Phone: (208) 734-6091
Fax: (208) 734-4654

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  • Organization
  • Allergy & Immunology
  • Allergy
  • Accepts Insurance
  • CLIA Number: 13D0672553
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 08-14-2025

About ASTHMA & ALLERGY OF IDAHO PLLC

This page provides the complete NPI Profile along with additional information for Asthma & Allergy Of Idaho Pllc, a provider established in Twin Falls, Idaho operating as a Allergy & Immunology, focusing in allergy . The healthcare provider is registered in the NPI registry with number 1427138734 assigned on October 2006. The practitioner's primary taxonomy code is 207KA0200X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Andrew Wickern (Credentialing Specialist)

NPI
1427138734
Provider Name
ASTHMA & ALLERGY OF IDAHO PLLC
Entity Type
Organization
Location Address
1502 LOCUST ST N STE 600 TWIN FALLS, ID 83301
Location Phone
(208) 734-6091
Location Fax
(208) 734-4654
Mailing Address
1502 LOCUST ST N STE 600 TWIN FALLS, ID 83301
Mailing Phone
(208) 734-6091
Mailing Fax
(208) 734-4654
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-17-2006
Last Update Date
01-14-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Allergy & Immunology Allergy

Taxonomy Code
207KA0200X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Connect Bronze Expanded Standard - PPO
  • Connect Bronze HDHP - PPO
  • Connect Catastrophic - PPO
  • Connect Gold - PPO
  • Connect Gold Standard - PPO
  • Connect Silver - PPO
  • Connect Silver Standard - PPO
  • High Plains Bronze HDHP - PPO
  • High Plains Bronze Standard Expanded - PPO
  • High Plains Gold - PPO
  • High Plains Gold HDHP - PPO
  • High Plains Gold Standard - PPO
  • High Plains Silver - PPO
  • High Plains Silver Standard - PPO
  • Plus Bronze Expanded - PPO
  • Plus Bronze Standard Expanded - PPO
  • Plus Gold - PPO
  • Plus Gold Standard - PPO
  • Plus Silver Standard - PPO
  • ACCESS BRONZE - PPO
  • Healthy Premier Bronze HSA - EPO
  • Healthy Premier Expanded Bronze Standard - EPO
  • Healthy Premier Gold Copay - EPO
  • Healthy Premier Gold Standard - EPO
  • Healthy Premier Silver Copay - EPO
  • Healthy Premier Silver Standard - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ANDREW WICKERN

Authorized Official Title
CREDENTIALING SPECIALIST
Authorized Official Phone
(208) 734-6091

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
002736100MEDICAID (05)ID 
002736202MEDICAID (05)ID 
002736200MEDICAID (05)ID 
807562301MEDICAID (05)ID 
002736101MEDICAID (05)ID 
002736102MEDICAID (05)ID 
002736104MEDICAID (05)ID 
002736103MEDICAID (05)ID 
002736105MEDICAID (05)ID 
807562300MEDICAID (05)ID 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
13D0672553
Facility Type
Physician Office
Certificate Effective Date
August 15, 2023
Certificate Expiration Date
August 14, 2025
Laboratory Director
RICHARD E. HENRY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Asthma & Allergy Of Idaho Pllc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for ASTHMA & ALLERGY OF IDAHO PLLC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1427138734
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2447231676
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 4 + 7 + 2 + 3 + 1 + 6 + 7 + 6 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1427138734 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1972578672DR. GREGORY MATHEW WICKERN M.D.
Individual
Allergy & Immunology (Allergy)1502 LOCUST ST N STE 600
TWIN FALLS, ID 83301
(208) 734-6091
1215448246 CLARK JOSEPH WYATT NP-C
Individual
Nurse Practitioner (Family)1502 LOCUST ST N STE 600
TWIN FALLS, ID 83301
(208) 734-6091
1265635171ASTHMA & ALLERGY OF IDAHO
Organization
Nurse Practitioner1502 LOCUST ST N STE 600
TWIN FALLS, ID 83301
(208) 734-6091
1225007644DR. SHAYNE C STOKES MD
Individual
Allergy & Immunology1502 LOCUST ST N STE 600
TWIN FALLS, ID 83301
(208) 734-6091

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427138734, enumerated in the NPI registry as an "organization" on October 17, 2006

The provider is located at 1502 Locust St N Ste 600 Twin Falls, Id 83301 and the phone number is (208) 734-6091

This medical organization specializes in Allergy & Immunology with taxonomy code 207KA0200X with a focus in Allergy

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Mountain. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 13D0672553 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on October 17, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.