Jack Allen, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

F7989 Issued in TX

Practice address

915 Peach LN
Burleson, TX 76028-7091

Phone

(817) 995-5403

Fax

(206) 350-1562

NPI assigned

Jan 12, 2012

Last updated

Jan 12, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Jackie Allen Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1326326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326326400000",
    "number": "1144591777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 PEACH LN",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760287091",
            "telephone_number": "817-995-5403",
            "fax_number": "206-350-1562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 PEACH LN",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760287091",
            "telephone_number": "817-995-5403",
            "fax_number": "206-350-1562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "JACK",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-12",
        "last_updated": "2012-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "F7989",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "F7989",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACKIE",
            "last_name": "ALLEN",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Alfonso Barnard Barragan, MD PA
• Algaissi, D.M.D, P.C
• Allen Speech & Psychological Services PC (BHFS Medical and Behavioral Services)
• Allen Speech & Psychological Services PC (BHFS Medical and Behavioral Services)
• Abigail Allen, PA-C
• Ladwanee Allen
• Timothy Denver Allen, DO
• Allergy Ear Nose & Throat Associates of Texas
• Joseph Elom Allotey, OD
• Alltech O & P Services, LLC

• Emergency Medicine Physician in Burleson, TX
• Providers in Burleson, TX by specialty
• Emergency Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.