Commonwealth Allergy LLC

Primary specialty

Allergy PhysicianTaxonomy code 207KA0200X

License

0101239959 Issued in VA

Legal business name

COMMONWEALTH ALLERGY LLC

Practice address

201 Concourse Blvd
Ste 100
Glen Allen, VA 23059-5640

Phone

(804) 968-4824

Fax

(804) 968-4824

NPI assigned

Oct 7, 2014

Last updated

Oct 7, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Kimberly C George, M.D

Title

Owner

Phone

(540) 379-2707

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1412640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412640000000",
    "number": "1053714816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 CONCOURSE BLVD",
            "address_2": "STE 100",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230595640",
            "telephone_number": "804-968-4824",
            "fax_number": "804-968-4824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 CONCOURSE BLVD",
            "address_2": "STE 100",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230595640",
            "telephone_number": "804-968-4824",
            "fax_number": "804-968-4824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH ALLERGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-07",
        "last_updated": "2014-10-07",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-379-2707",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": "VA",
            "license": "0101239959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tim Wayne Colyer, RPH
• William Gregory Combs, RPH
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• Commonwealth Primary Care (CPC Rehabilitation Division)
• Commonwealth Primary Care (Family Physicians, Wyndham)
• Commonwealth Sports Medicine PC
• Commonwealth Vision Center

• Allergy Physician in Glen Allen, VA
• Providers in Glen Allen, VA by specialty
• Allergy Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.