Active NPI
Robert Charles Allen, M.D.
- Family Medicine Physician
- Allegan, MI
National Provider Identifier
1124189345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301067966
- Practice address
- 516 Linn St
Allegan, MI 49010-1525 - Phone
- (269) 673-5200
- Fax
- (866) 519-9037
- NPI assigned
- Dec 12, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301067966 | MI | Primary |
Addresses
Primary practice location
516 Linn St
Allegan, MI 49010-1525
Mailing address
516 Linn St
Allegan, MI 49010-1525
Phone (269) 673-5200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4301067966 | Other | MI | STATE LICENSE NUMBER |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1124189345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "516 LINN ST",
"city": "ALLEGAN",
"state": "MI",
"postal_code": "490101525",
"telephone_number": "269-673-5200",
"fax_number": "866-519-9037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "516 LINN ST",
"city": "ALLEGAN",
"state": "MI",
"postal_code": "490101525",
"telephone_number": "269-673-5200",
"fax_number": "866-519-9037"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "ROBERT",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-12",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301067966",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "4301067966",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Allegan, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.