Organization Active NPI

Allergy & Asthma Specialists of Virginia PC

  • Allergy & Immunology Physician
  • Mechanicsville, VA
National Provider Identifier
1396970281
Registry record updated Aug 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
Legal business name
ALLERGY & ASTHMA SPECIALISTS OF VIRGINIA PC
Practice address
7489 Right Flank Rd
Suite 300
Mechanicsville, VA 23116-3845
Phone
(804) 559-8055
Fax
(804) 559-6920
NPI assigned
May 20, 2009
Last updated
Aug 3, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2012

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

Authorized official

Name
Pamela J Daffern, MDNPI 1043309107
Title
President
Phone
(804) 559-8055

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X NU Primary

Addresses

Primary practice location

7489 Right Flank Rd
Suite 300
Mechanicsville, VA 23116-3845

Mailing address

7489 Right Flank Rd
Suite 300
Mechanicsville, VA 23116-3845
Phone (804) 559-8055

Other identifiers 2

IdentifierTypeStateIssuer
1043309107OtherVAINDIVIDUAL NPI
1932130531OtherVAINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Locations

7489 Right Flank Rd
Ste 300
Mechanicsvlle, VA 23116
Phone (804) 467-0662

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23696/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1242777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343952000000",
    "number": "1396970281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7489 RIGHT FLANK RD",
            "address_2": "SUITE 300",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231163845",
            "telephone_number": "804-559-8055",
            "fax_number": "804-559-6920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7489 RIGHT FLANK RD",
            "address_2": "SUITE 300",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231163845",
            "telephone_number": "804-559-8055",
            "fax_number": "804-559-6920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY & ASTHMA SPECIALISTS OF VIRGINIA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-20",
        "last_updated": "2012-08-03",
        "status": "A",
        "authorized_official_last_name": "DAFFERN",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-559-8055",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1043309107",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1932130531",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2012; 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.