Active NPI
Donna J Allmon, M.D.
- Family Medicine Physician
- Poplar Bluff, MO
National Provider Identifier
1124093901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 111597
- Practice address
- 686 Lester St
Poplar Bluff, MO 63902-0220 - Phone
- (573) 686-2411
- Fax
- (573) 686-8452
- NPI assigned
- Feb 23, 2006
- Last updated
- Oct 2, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 111597 | MO | Primary |
Addresses
Primary practice location
686 Lester St
Poplar Bluff, MO 63902-0220
Mailing address
686 Lester St
PO Box 220
Poplar Bluff, MO 63902-0220
Phone (573) 686-2411
Other names 1
- Donna J Allmon-Eggimann
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 111597 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstop One Inc | Past | Accepting new patients | |
| Aesthetic Dermatologic Surgery | Past | Accepting new patients |
Organizations & group practices 2
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.
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- NPI 1982897450
-
- Clinic/Center
- Cape Girardeau, MO
- NPI 1417959149
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254441600000",
"number": "1124093901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "686 LESTER ST",
"address_2": "PO BOX 220",
"city": "POPLAR BLUFF",
"state": "MO",
"postal_code": "639020220",
"telephone_number": "573-686-2411",
"fax_number": "573-686-8452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "686 LESTER ST",
"city": "POPLAR BLUFF",
"state": "MO",
"postal_code": "639020220",
"telephone_number": "573-686-2411",
"fax_number": "573-686-8452"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLMON",
"first_name": "DONNA",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-23",
"last_updated": "2009-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "111597",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DONNA",
"last_name": "ALLMON-EGGIMANN",
"middle_name": "J",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Poplar Bluff, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.