Active NPI
Douglas B Allen Jr., DO
- Emergency Medicine Physician
- Lewes, DE
National Provider Identifier
1033198049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- C20003336
- Practice address
- 424 Savannah Rd
Lewes, DE 19958 - Phone
- (302) 645-3554
- Fax
- (302) 645-3862
- NPI assigned
- Jan 10, 2006
- Last updated
- Nov 13, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | C20003336 | DE | Primary |
Addresses
Primary practice location
424 Savannah Rd
Lewes, DE 19958
Mailing address
PO Box 3012
Wilmington, DE 19804
Phone (302) 224-5678
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000872503 | Medicaid | DE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C20003336 | DE | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289606400000",
"number": "1033198049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3012",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "19804",
"telephone_number": "302-224-5678",
"fax_number": "302-224-2848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "424 SAVANNAH RD",
"city": "LEWES",
"state": "DE",
"postal_code": "19958",
"telephone_number": "302-645-3554",
"fax_number": "302-645-3862"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "DOUGLAS",
"middle_name": "B",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-10",
"last_updated": "2010-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "DE",
"license": "C20003336",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000872503",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lewes, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.