B Allen Kolodziej, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

0101233338 Issued in VA

Practice address

1800 Combs Rd
Pennington Gap, VA 24277-1808

Phone

(276) 546-1440

Fax

(865) 291-3228

NPI assigned

Jul 5, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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

• Emergency Coverage Services, PC

  • Nurse Practitioner
  • Lawrenceburg, TN
  • NPI 1053351593
  NPD (past)

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841221397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 BUCCANEER DR",
            "address_2": "APT 312",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376047736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 COMBS RD",
            "city": "PENNINGTON GAP",
            "state": "VA",
            "postal_code": "242771808",
            "telephone_number": "276-546-1440",
            "fax_number": "865-291-3228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLODZIEJ",
        "first_name": "B",
        "middle_name": "ALLEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101233338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John C. Marion-Pharmacist,P.C.
• Karen Michelle Jones, LPC
• K-VA-T Food Stores Inc (Food City Pharmacy)
• Kim's Counseling Corner
• Emily Kinser
• Angeal Courtney Lawson
• Lee County Hospital Authority
• Lee County Medical Center,LLC
• Lee County Rescue Squad Inc (Pennington Gap Unit)
• Lee Family Dental PLC

• Emergency Medicine Physician in Pennington Gap, VA
• Providers in Pennington Gap, VA by specialty
• Emergency Medicine 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.