Provider Demographics
NPI:1154500999
Name:ALLINGHAM & ASSOCIATES PC
Entity Type:Organization
Organization Name:ALLINGHAM & ASSOCIATES PC
Other - Org Name:OAKTON URGENT CARE CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:G
Authorized Official - Last Name:ALLINGHAM
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:703-255-1190
Mailing Address - Street 1:2915 HUNTER MILL ROAD
Mailing Address - Street 2:SUITE 11
Mailing Address - City:OAKTON
Mailing Address - State:VA
Mailing Address - Zip Code:22124
Mailing Address - Country:US
Mailing Address - Phone:703-255-1190
Mailing Address - Fax:703-255-1193
Practice Address - Street 1:2915 HUNTER MILL ROAD
Practice Address - Street 2:SUITE 11
Practice Address - City:OAKTON
Practice Address - State:VA
Practice Address - Zip Code:22124
Practice Address - Country:US
Practice Address - Phone:703-255-1190
Practice Address - Fax:703-255-1193
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-29
Last Update Date:2008-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101046274146D00000X, 261QU0200X
VA0101053529207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No146D00000XEmergency Medical Service ProvidersPersonal Emergency Response AttendantGroup - Multi-Specialty
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent CareGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAE71179Medicare UPIN
VA463168Medicare PIN