Active NPI
Blue Ridge Allergy & Asthma, Inc
- Allergy Physician
- Charlottesville, VA
National Provider Identifier
1679654206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy Physician
- License
- 0101225810
- Legal business name
- BLUE RIDGE ALLERGY & ASTHMA, INC
- Practice address
- 941 Glenwood Station Lane
Suite #103
Charlottesville, VA 22901-1697 - Phone
- (434) 977-6673
- NPI assigned
- Oct 18, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gretchen Beck, MD
- Title
- Owner
- Phone
- (434) 977-6673
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy Physician | 207KA0200X | 0101225810 | VA | Primary |
Addresses
Primary practice location
941 Glenwood Station Lane
Suite #103
Charlottesville, VA 22901-1697
Mailing address
941 Glenwood Station Lane
Suite #103
Charlottesville, VA 22901-1697
Phone (434) 977-6673
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 323663 | Other | VA | BCBS |
National Provider Directory
National Provider DirectoryLocations
941 Glenwood Station Ln
Ste 103
Charlottesvle, VA 22901
Phone (434) 977-6673
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Allergy Physician
- Bentonville, AR
- NPI 1891739660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1281916800000",
"number": "1679654206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "941 GLENWOOD STATION LANE",
"address_2": "SUITE #103",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229011697",
"telephone_number": "434-977-6673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "941 GLENWOOD STATION LANE",
"address_2": "SUITE #103",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229011697",
"telephone_number": "434-977-6673"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLUE RIDGE ALLERGY & ASTHMA, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-18",
"last_updated": "2010-08-16",
"status": "A",
"authorized_official_last_name": "BECK",
"authorized_official_first_name": "GRETCHEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "434-977-6673",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207KA0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Allergy & Immunology, Allergy",
"state": "VA",
"license": "0101225810",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "323663",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlottesville, VA
- Bloom Care Group LLC (Bloom Care Group)
- Melissa Sue Bloomer, DPT
- Karen Shatkin Bloomfield, M.S., R.N., C.N.S.
- Peter Blosser, MD
- Lauren Faith Bloxsome, RD
- Blue Ridge Chiropractic and Massage Therapy Center
- Blue Ridge Endocrinology and Diabetes PLC
- Blue Ridge First Step
- Blue Ridge Foot and Ankle Clinic PLC
- Blue Ridge Hearing, Inc (Miracle-Ear)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.