Vicksburg Allergy and Asthma
NPI 1619140399 · Allergy & Immunology Physician · Vicksburg, MS
Vicksburg Allergy and Asthma is a Allergy & Immunology Physician organization in Vicksburg, MS (NPI 1619140399).
Provider details
- NPI number
- 1619140399
- Entity type
- Organization
- Primary specialty
- Allergy & Immunology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Timothy Kerut, President(601) 636-0097
- License
- 11047 (MS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-04-02
- Last updated
- 2008-04-02
Frequently asked questions
- What is Vicksburg Allergy and Asthma's NPI number?
- Vicksburg Allergy and Asthma's National Provider Identifier (NPI) is 1619140399, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Vicksburg Allergy and Asthma?
- Vicksburg Allergy and Asthma is classified in the NPPES registry as Allergy & Immunology Physician (Allopathic & Osteopathic Physicians).
- Where is Vicksburg Allergy and Asthma located?
- Vicksburg Allergy and Asthma's practice location on file with NPPES is 104 Mcauley Dr, Vicksburg, MS 39183-2825.
- What is Vicksburg Allergy and Asthma's phone number?
- The practice phone number listed in the NPPES registry for Vicksburg Allergy and Asthma is (601) 636-0097.
- Who is the authorized official for Vicksburg Allergy and Asthma?
- The authorized official listed on Vicksburg Allergy and Asthma's NPPES record is Timothy Kerut, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Vicksburg Allergy and Asthma's NPI active?
- Yes — Vicksburg Allergy and Asthma's NPI (1619140399) is active in the NPPES registry as of the last update on 2008-04-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.