Provider Demographics
NPI:1477678027
Name:ANN P. ZILLIOX MD
Entity Type:Organization
Organization Name:ANN P. ZILLIOX MD
Other - Org Name:ALLERGY AND ASTHMA OF OYSTER POINT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PROPIETOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ANN
Authorized Official - Middle Name:PHILOMENA
Authorized Official - Last Name:ZILLIOX
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:757-873-3882
Mailing Address - Street 1:11835 FISHING POINT DR
Mailing Address - Street 2:SUITE 107
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23606-2584
Mailing Address - Country:US
Mailing Address - Phone:757-873-3882
Mailing Address - Fax:757-873-2269
Practice Address - Street 1:11835 FISHING POINT DR
Practice Address - Street 2:SUITE 107
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23606-2584
Practice Address - Country:US
Practice Address - Phone:757-873-3882
Practice Address - Fax:757-873-2269
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2008-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101-42444207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
B59626Medicare UPIN