CMS-1500 Box 24J / 33a • NPI
1215119508
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
207KI0005X (CMS 03)
Licensed & Credentialed Allopathic & Osteopathic Physicians — Allergy and Immunology — Clinical & Laboratory Immunology
Box 32 Service Location & ZIP+4
1735 ELM COURT, JEFFERSON CITY, MO, 65101-4129
✓ 9-Digit EDI 837 ZIP+4 (65101-4129)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1215119508 (ALLERGY ASTHMA & IMMUNOLOGY SERVICES, LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1215119508 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | ALLERGY ASTHMA & IMMUNOLOGY SERVICES, LLC |
| Plain-English Specialty | Licensed & Credentialed Allopathic & Osteopathic Physicians — Allergy and Immunology — Clinical & Laboratory Immunology NUCC Code: 207KI0005X (Allergy & Immunology, Clinical & Laboratory Immunology) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 1735 ELM COURT, JEFFERSON CITY, MO, 65101-4129 |
| Practice Telephone / Fax | Tel: (573) 638-2012 | Fax: (573) 761-4249 |
| Administrative Mailing Address | 1735 ELM COURT, JEFFERSON CITY, MO, 65101-4129 |
| Enumeration & Last Sync | Enumerated: 2007-11-29 | CMS Record Updated: 2015-01-22 |
| Authorized Official | STANLEY HORNER (Owner/Physician) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (207KI0005X)
What Does Taxonomy Code 207KI0005X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207KI0005X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Allergy and Immunology — Clinical & Laboratory Immunology"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ALLERGY ASTHMA & IMMUNOLOGY SERVICES, LLC)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
207KI0005X — Allergy & Immunology, Clinical & Laboratory ImmunologyPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Allergy and Immunology — Clinical & Laboratory Immunology | State: MO | License: 0340248-22 | Primary: Secondary |
207KI0005X — Allergy & Immunology, Clinical & Laboratory ImmunologyPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Allergy and Immunology — Clinical & Laboratory Immunology | State: MO | License: 36946 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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