Individual provider Active NPI

Harry S. Allen II III, M.D.

  • Internal Medicine Physician
  • Florence, SC
National Provider Identifier
1013916816
Registry record updated Sep 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
7837 Issued in SC
Practice address
214 W Pine St.
Florence, SC 29501-4725
Phone
(843) 661-0500
Fax
(843) 661-7370
NPI assigned
Jul 14, 2005
Reactivated
Mar 28, 2006
Last updated
Sep 24, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 7837 SC Primary

Addresses

Primary practice location

214 W Pine St.
Florence, SC 29501-4725

Mailing address

PO Box 2109
Florence, SC 29503-2109
Phone (843) 661-0500

Other identifiers 1

IdentifierTypeStateIssuer
078374MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100611000571 SC Practitioner - Internal Medicine 6305976648 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
7837SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Crescent Healthcare LLC Internal Medicine CurrentSince Oct 1, 2013 Accepting new patients
Harry S Allen III, M.D.,PC Internal Medicine PastSince Jan 1, 1997 Accepting new patients
Florence Urological Associates, PA Past Accepting new patients

Locations

214 W Pine St
Florence, SC 29501
Phone (843) 661-0500

805 Pamplico Hwy
Ste A310
Florence, SC 29505
Phone (843) 413-6900

Interoperability endpoints

  • Direct secure messaging: harry.allen.1@18006.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537747200000",
    "number": "1013916816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2109",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295032109",
            "telephone_number": "843-661-0500",
            "fax_number": "843-661-7370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 W PINE ST.",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014725",
            "telephone_number": "843-661-0500",
            "fax_number": "843-661-7370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN II",
        "first_name": "HARRY",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2018-09-24",
        "deactivation_date": "2006-03-17",
        "reactivation_date": "2006-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "7837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "078374",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

Verify at the official NPI Registry.