Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pediatric & Adult Allergy Asthma & Immunology Specialists, LLC

Organization Allergy & Immunology Physician · NPI 1790801512

Pediatric & Adult Allergy Asthma & Immunology Specialists, LLC is an Allergy & Immunology Physician in Fort Wayne, Indiana. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3030 Lake Ave Ste 27
Fort Wayne, IN 46805-5428
Phone: (260) 422-5569
Fax: (260) 422-6086
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Allergy & Immunology Physician (primary) Taxonomy 207K00000X

Record details

NPI number1790801512
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Monica Nelson — Business Manager · (260) 422-5569
NPI enumeratedMarch 22, 2007
Last updated in NPPESAugust 22, 2020
Mailing address3030 Lake Ave, Suite 27, Fort Wayne, IN 46805-5428

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