Organization Active NPI

Blue Ridge Allergy & Asthma, Inc

  • Allergy Physician
  • Charlottesville, VA
National Provider Identifier
1679654206
Registry record updated Aug 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
0101225810 Issued in VA
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

Updated by the provider on Aug 16, 2010

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)CodeLicenseStatePrimary
Allergy PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
323663OtherVABCBS

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.