# ALLERGY AND ASTHMA CENTER OF THE TRI-STATE, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962515080
- **Authorized official:** DR. MARK MICHAEL M.D. (PRESIDENT)
- **Authorized official phone:** (513) 791-6006

## Contact information

- **Practice address:** 5757 GLENWAY AVE, CINCINNATI, OH 45238-2105
- **Practice address phone:** (513) 791-6006
- **Practice address fax:** (513) 791-3399
- **Mailing address:** 5757 GLENWAY AVE, CINCINNATI, OH 45238-2105
- **Mailing address phone:** (513) 791-6006
- **Mailing address fax:** (513) 791-3399

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | 35052345 | OH | Yes |

## Other

- **Enumeration date:** 08/15/2006
- **Last updated:** 06/30/2011