1265471908 NPI number — COOKINGHAM BEENE ALLERGY & ASTHMA ASSOCIATES PC

Table of content: PAYTON COLIN THOMAS DDS (NPI 1295608156)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1265471908 NPI number — COOKINGHAM BEENE ALLERGY & ASTHMA ASSOCIATES PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
COOKINGHAM BEENE ALLERGY & ASTHMA ASSOCIATES PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1265471908
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/22/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4260 S LINDEN RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FLINT
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48507-2977
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
810-733-3200
Provider Business Mailing Address Fax Number:
810-337-1270

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4260 S LINDEN RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FLINT
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48507-2977
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
810-733-3200
Provider Business Practice Location Address Fax Number:
810-337-1270
Provider Enumeration Date:
06/06/2006

Additional Information

Authorized Official

Authorized Official Last Name:
COOKINGHAM
Authorized Official First Name:
CORY
Authorized Official Middle Name:
EDWARD
Authorized Official Title or Position:
PRESIDENT COOKINGHAM ALLERGY & ASTH
Authorized Official Telephone Number:
810-733-3200

Provider Taxonomy Codes

  • Taxonomy code: 207K00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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