Kristina L Kwak, MD

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

35080337 Issued in OH

Practice address

2955 Market St Ste B1
Allergy & Asthma Associates of Southwest Virginia, Inc.
Christiansburg, VA 24073-6575

Phone

(540) 382-1165

Fax

(540) 382-2614

NPI assigned

Nov 22, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Allergy/ImmunologyAlso: Pediatric Medicine

Education

Wright State University Boonshoft School of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lewisgale Hospital Montgomery Hospital, Blacksburg, VA, CCN 490110

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Allergy & Asthma Associates of the NRV PLLC

  • Allergy & Immunology Physician
  • Christiansburg, VA
  • NPI 1922509801
  Medicare reassignment Authorized official
• Allergy and Asthma Associates LLC

  • Allergy & Immunology Physician
  • Kettering, OH
  • NPI 1649474883
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Montgomery Regional Hospital Inc

  • General Acute Care Hospital
  • Blacksburg, VA
  • NPI 1275570376
  Care Compare affiliation

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497738652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2955 MARKET ST STE B1",
            "address_2": "ALLERGY & ASTHMA ASSOCIATES OF SOUTHWEST VIRGINIA, INC.",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240736575",
            "telephone_number": "540-382-1165",
            "fax_number": "540-382-2614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2955 MARKET ST STE B1",
            "address_2": "ALLERGY & ASTHMA ASSOCIATES OF SOUTHWEST VIRGINIA, INC.",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240736575",
            "telephone_number": "540-382-1165",
            "fax_number": "540-382-2614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWAK",
        "first_name": "KRISTINA",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "OH",
            "license": "35080337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Thomas Knackstedt
• Michael C Knight, DO
• Thomas G Kraemer, MD
• Kroger Limited Partnership I
• Manil Kukar, MD
• Laboratory Corporation of America Holdings
• Paul Frederick Laflam, M.D.
• Savanna Nicole Laflamme, PHARMD
• Reed R Lambert, MD
• Elizabeth A Landry

• Allergy & Immunology Physician in Christiansburg, VA
• Providers in Christiansburg, VA by specialty
• Allergy & Immunology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.