NPIMap

Organization Active NPI

Allergy & Asthma Center of FBG, LTD

  • Allergy & Immunology Physician
  • Fredericksburg, VA
National Provider Identifier
1710922802
Registry record updated May 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
Legal business name
ALLERGY & ASTHMA CENTER OF FBG, LTD
Practice address
1300 Thornton St
Suite 200
Fredericksburg, VA 22401-4654
Phone
(540) 371-6810
Fax
(540) 371-9154
NPI assigned
Jun 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2015

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

Authorized official

Name
Seth Craig, MD
Title
Authorized Official
Phone
(540) 371-6810

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X Primary

Addresses

Primary practice location

1300 Thornton St
Suite 200
Fredericksburg, VA 22401-4654

Mailing address

1300 Thornton St
Suite 200
Fredericksburg, VA 22401-4654
Phone (540) 371-6810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060427000458 VA Part B Supplier - Clinic/Group Practice 3870503337 Receives reassigned benefits from 5 practitioners
Practice locations: Manassas, VA; Lorton, VA; Fredericksburg, VA

National Provider Directory

National Provider Directory

Locations

1300 Thornton St
Ste 200
Fredericksburg, VA 22401
Phone (540) 371-6810

9010 Lorton Station Blvd
Ste 210
Lorton, VA 22079
Phone (703) 339-1660

8140 Ashton Ave
Ste 110
Manassas, VA 20109
Phone (540) 371-6810

Practitioners & affiliated clinicians

Practitioners 6

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": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431993600000",
    "number": "1710922802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 THORNTON ST",
            "address_2": "SUITE 200",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014654",
            "telephone_number": "540-371-6810",
            "fax_number": "540-371-9154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 THORNTON ST",
            "address_2": "SUITE 200",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014654",
            "telephone_number": "540-371-6810",
            "fax_number": "540-371-9154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY & ASTHMA CENTER OF FBG, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2015-05-19",
        "status": "A",
        "authorized_official_last_name": "CRAIG",
        "authorized_official_first_name": "SETH",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "540-371-6810",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2015; 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.