Commonwealth Allergy and Asthma LLC

Primary specialty

Allergy PhysicianTaxonomy code 207KA0200X

License

0101239959 Issued in VA

Legal business name

COMMONWEALTH ALLERGY AND ASTHMA LLC

Practice address

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

Phone

(804) 968-4824

Fax

(804) 968-4826

NPI assigned

Oct 20, 2010

Last updated

Dec 3, 2010By 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

Dr. Kimberly Creasy George, M.D.

Title

Physician

Phone

(540) 379-2707

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291334400000",
    "number": "1417267683",
    "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": "804-968-4826"
        },
        {
            "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": "804-968-4826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH ALLERGY AND ASTHMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-20",
        "last_updated": "2010-12-03",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "CREASY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "540-379-2707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "VA",
            "license": "0101239959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "00Y236A02",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1932130531",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Colonial Quality Home Care Inc
• Tim Wayne Colyer, RPH
• William Gregory Combs, RPH
• Comfortway LLC
• Commonhealth Wellness Solutions, LLC
• Commonwealth Allergy LLC
• Commonwealth Primary Care (CPC Hospitalist Division)
• Commonwealth Primary Care (CPC Rehabilitation Division)
• Commonwealth Primary Care (Family Physicians, Wyndham)
• Commonwealth Sports Medicine PC

• 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 Dec 3, 2010; 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.