Organization Active NPI

Allen Gabriel MD, PLLC

  • Plastic and Reconstructive Surgery Physician
  • Vancouver, WA
National Provider Identifier
1083193403
Registry record updated Jul 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
Legal business name
ALLEN GABRIEL MD, PLLC
Practice address
703 Broadway St Ste 700
Vancouver, WA 98660-3307
Phone
(360) 869-4200
NPI assigned
Aug 7, 2018
Last updated
Jul 29, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2022

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

Authorized official

Name
Allen Gabriel, MDNPI 1821146770
Title
Owner
Phone
(360) 869-4200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X NU Primary

Addresses

Primary practice location

703 Broadway St Ste 700
Vancouver, WA 98660-3307

Mailing address

703 Broadway St Ste 700
Vancouver, WA 98660-3307

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180924001438 WA Part B Supplier - Clinic/Group Practice 5799036133 Receives reassigned benefits from 7 practitioners
Practice locations: Vancouver, WA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2261163Allen Gabriel MD703 Broadway St Ste 700, Vancouver, WA 98660Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Locations

505 NE 87th Ave
Ste 250
Vancouver, WA 98664
Phone (360) 514-1010

703 Broadway St
Ste 700
Vancouver, WA 98660
Phone (360) 514-1020

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1533600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659052800000",
    "number": "1083193403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 BROADWAY ST STE 700",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986603307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 BROADWAY ST STE 700",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986603307",
            "telephone_number": "360-869-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEN GABRIEL MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-07",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A",
        "authorized_official_last_name": "GABRIEL",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-869-4200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.