PREMIER ALLERGY AND ASTHMA CENTERS, LLC (NPI# 1255954764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255954764 |
Entity Type | Organization |
Organization Name | PREMIER ALLERGY AND ASTHMA CENTERS, LLC |
Practice Address |
8100 Ashton Ave Ste 207b Manassas VA 20109-5688 |
Mailing Address |
20236 Mcnamara Rd Poolesville MD 20837-9418 |
Practice Telephone | 8555287348 |
Practice Fax Number | 8553292873 |
Mailing Telephone | 8555287348 |
Mailing Fax Number | 8553292873 |
Enumeration Date | 2020-05-19 |
Last Update Date | 2020-05-19 |
Authorized Official Name | DR. PETR BOCEK (CEO) |
Authorized Official Telephone | 8555287348 |
Authorized Official Credential | MD, PHD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207K00000X | Allergy & Immunology | Allopathic & Osteopathic Physicians |
Street Address |
8100 ASHTON AVE STE 207B |
City | MANASSAS |
State | VA |
Zip Code | 20109-5688 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275151854 | Laura Zabel | Social Worker | 10220 Launch Circle #103, Manassas, VA 20109 | 2020-07-09 |
1659910677 | Leigh Cristi Babin-adkins | Registered Nurse | 10550 Linden Lake Plazza, Manassas, VA 20109 | 2019-12-23 |
1326686221 | Sophie Louise Elliot | Speech-Language Pathologist | 10550 Linden Lake Plaza Suite 100, Manassas, VA 20109 | 2019-12-11 |
1962978221 | Dominique Marie Cytryn | Behavior Technician | Family Insight, P.C., 7730 Donegan Dr, Manassas, VA 20109 | 2018-10-15 |
1255829008 | Lyusyena Teper | Physical Therapist | 11662 Sudley Manor Dr Ste 50-b, Manassas, VA 20109 | 2018-04-27 |
1861995060 | Mylisa L Ickes | Counselor | 7982 Donegan Drive, Manassas, VA 20109 | 2018-03-14 |
1336641885 | Stephanie Joanne Gamboa | Behavior Technician | 1037 Battleview Pkwy, Manassas, VA 20109 | 2018-03-01 |
1154822237 | Katherine Sholl | Behavior Technician | 10370 Battleview Parkway, Manassas, VA 20109 | 2018-02-23 |
1386168615 | Northern Virginia Checker Cab LLC | Taxi | 7631 Coppermine Dr, Manassas, VA 20109 | 2017-07-28 |
1407383201 | Monique Lowery | Social Worker | 7403 Emerald Dr., Manassas, VA 20109 | 2017-05-11 |
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Taxonomy Code | 207K00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Allergy & Immunology |
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437630241 | Allergy Partners, Pllc | Allergy & Immunology | 100 Elden St Ste 10, Herndon, VA 20170-4833 | 2018-08-29 |
1780053587 | Allergy Partners, Pllc | Allergy & Immunology | 8136 Old Keene Mill Rd Ste A309, Springfield, VA 22152-1853 | 2015-09-22 |
1194130294 | Farah Nawaz Khan | Allergy & Immunology | 311 Maple Ave W Ste H, Vienna, VA 22180-4309 | 2014-06-26 |
1033470091 | Shahab S Virani | Allergy & Immunology | 1300 Thornton St Ste 200, Fredericksburg, VA 22401-4654 | 2012-06-06 |
1235414681 | Ahmad Hamad | Allergy & Immunology | 8233 Old Courthouse Rd Ste 230, Vienna, VA 22182 | 2011-10-17 |
1124358486 | Mehmet Eragan, Md | Allergy & Immunology | 3522 Pinetree Ter, Falls Church, VA 22041-1418 | 2010-01-10 |
1982869897 | Erin J Klaffky | Allergy & Immunology | 1415 Rolkin Ct Ste 102, Charlottesville, VA 22911-3643 | 2008-07-21 |
1114184967 | Karen Robbins | Allergy & Immunology | 1360 Beverly Rd Ste 103, Mc Lean, VA 22101-3621 | 2008-05-20 |
1356516546 | Ananth Thyagarajan | Allergy & Immunology | 5210a Lyngate Ct, Burke, VA 22015-4697 | 2008-04-28 |
1548444078 | Burcin Uygungil Fraser | Allergy & Immunology | 46400 Benedict Dr Ste 3, Sterling, VA 20164-6604 | 2007-12-19 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.