ABINGDON EAR NOSE & THROAT ASSOCIATES PC NPI 1225145477

NPI Information

NPI: 1225145477
Provider Name: ABINGDON EAR NOSE & THROAT ASSOCIATES PC
Classification: Allergy & Immunology - 207KA0200X
Entity Type: Organization

Specialization: Allergy

CLIA Number: 49D1102059

Address:
176 VALLEY ST NW
ABINGDON, VA
ZIP 24210
Phone: (276) 628-9547
Get Directions

ABINGDON EAR NOSE & THROAT ASSOCIATES PC is an allergy allergy immunology in Abingdon, VA. The provider is a physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee ABINGDON EAR NOSE & THROAT ASSOCIATES PC NPI is 1225145477. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

176 VALLEY ST NW
ABINGDON, VA
ZIP 24210-836
Phone: (276) 628-9547
Fax: (276) 628-8221

The provider's authorized official is James M Wade .
The authorized official title is Physician and has the following contact phone number (276) 628-9547.

The CLIA number assigned to this NPI record is 49D1102059 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/24/2006 and was last updated on 8/6/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207KA0200X	Allergy & Immunology	Allergy		VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	C01909	MEDICARE PIN	VIRGINIA
2	067757	OTHER	VIRGINIA	BC/BS VA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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