Virginia Allergy PLLC

Primary specialty

Allergy PhysicianTaxonomy code 207KA0200X

Legal business name

VIRGINIA ALLERGY PLLC

Practice address

10134 Colvin Run Rd Ste D
Great Falls, VA 22066-1841

Phone

(703) 757-7950

Fax

(703) 757-7953

NPI assigned

May 17, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Manuel Guillen, MDNPI 1811092414

Title

President

Phone

(703) 932-7335

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Manuel Guillen, MD

  • Allergy Physician
  • Great Falls, VA
  • NPI 1811092414

  DC

  Medicare reassignment Authorized official
• Debra Anne Zeh, MD

  • Pediatrics Physician
  • Great Falls, VA
  • NPI 1972608578
  NPD (past)
• Lizhen Wang, MD

  • Pediatrics Physician
  • Norcross, GA
  • NPI 1902862535
  NPD (past)

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

{
    "created_epoch": "1715904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715904000000",
    "number": "1689423915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10134 COLVIN RUN RD STE D",
            "city": "GREAT FALLS",
            "state": "VA",
            "postal_code": "220661841",
            "telephone_number": "703-757-7950",
            "fax_number": "703-757-7953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10134 COLVIN RUN RD STE D",
            "city": "GREAT FALLS",
            "state": "VA",
            "postal_code": "220661841",
            "telephone_number": "703-757-7950",
            "fax_number": "703-757-7953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA ALLERGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-17",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A",
        "authorized_official_last_name": "GUILLEN",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-932-7335",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Steven Tippett, M.D.
• Stephanie Todd, M.D.
• Value in Prevention of Virginia, PLLC
• Vascular Surgery Group
• Virginia Allergy & Pediatric Associates, P.C.
• Virginia CVS Pharmacy LLC
• Virginia CVS Pharmacy, L.L.C.
• Virginia Health Operations LLC
• Virginia Health Operations LLC
• Virginia Health Operations LLC

• All providers in Great Falls, VA
• Allergy Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.