NPIMap

Donna J Allmon, M.D.

Individual provider Active NPI Family Medicine Physician · Poplar Bluff, MO

NPI 1124093901 · NPPES record last updated Oct 2, 2009

Key facts

NPI
1124093901
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
111597 (MO)
Practice address
686 Lester St
Poplar Bluff, MO 63902-0220
Phone
(573) 686-2411
Fax
(573) 686-8452
NPI assigned
Feb 23, 2006
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Aesthetic Dermatologic Surgery Past
since Mar 15, 2002		 Accepting new patients
Medstop One Inc Past
since Apr 26, 2018		 Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 111597 MO Yes

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 identifiers

IdentifierTypeStateIssuer
595725102MedicaidMO

Other names

  • Donna J Allmon-Eggimann Former name

Other providers in Poplar Bluff, MO

All providers in Poplar Bluff, MO · Family Medicine Physician in Missouri

Sources for this page

Verify at the official NPI Registry.