Organization Active NPI

Allergy Associates of N. Virginia, PLLC

  • Health Service Clinic/Center
  • Arlington, VA
National Provider Identifier
1275749277
Registry record updated Jul 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
0101239697 Issued in VA
Legal business name
ALLERGY ASSOCIATES OF N. VIRGINIA, PLLC
Practice address
1715 N George Mason Dr
Suite 502
Arlington, VA 22205-3609
Phone
(703) 558-6040
Fax
(703) 558-6042
NPI assigned
May 15, 2007
Last updated
Jul 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2008

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

Authorized official

Name
Dr. Sally Joo Bailey, M.D.
Title
Director
Phone
(703) 558-6040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 0101239697 VA Primary

Addresses

Primary practice location

1715 N George Mason Dr
Suite 502
Arlington, VA 22205-3609

Mailing address

1715 N George Mason Dr
Suite 502
Arlington, VA 22205-3609
Phone (703) 558-6040

Other identifiers 8

IdentifierTypeStateIssuer
7993496OtherVAAETNA
297010OtherVAANTHEM BCBS
5147476ML2OtherVAUNITED HEALTHCARE
9301453OtherVAPHCS
1613994OtherVAAETNA HMO
2547291OtherVACIGNA
762237OtherVANCPPO
0210OtherMDCAREFIRST BCBS

National Provider Directory

National Provider Directory

Locations

1715 N George Mason Dr
Ste 502
Arlington, VA 22205
Phone (703) 527-1303

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216684800000",
    "number": "1275749277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 N GEORGE MASON DR",
            "address_2": "SUITE 502",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222053609",
            "telephone_number": "703-558-6040",
            "fax_number": "703-558-6042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 N GEORGE MASON DR",
            "address_2": "SUITE 502",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222053609",
            "telephone_number": "703-558-6040",
            "fax_number": "703-558-6042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY ASSOCIATES OF N. VIRGINIA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2008-07-22",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "SALLY",
        "authorized_official_middle_name": "JOO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "703-558-6040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "VA",
            "license": "0101239697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7993496",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "297010",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "5147476ML2",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "9301453",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "1613994",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2547291",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPPO",
            "identifier": "762237",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS",
            "identifier": "0210",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; 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.