Active NPI
Mark L Allen MD, Inc
- Pain Medicine Physician
- Independence, OH
National Provider Identifier
1164798906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- Legal business name
- MARK L ALLEN MD, INC
- Practice address
- 6701 Rockside Rd
Suite 200
Independence, OH 44131-2358 - Phone
- (216) 674-5230
- Fax
- (216) 674-5231
- NPI assigned
- Mar 27, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mark L Allen, MD
- Title
- Owner
- Phone
- (216) 674-5230
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 18589 | KS | |
| Pain Medicine Physician | 208VP0000X | Primary |
Addresses
Primary practice location
6701 Rockside Rd
Suite 200
Independence, OH 44131-2358
Mailing address
6701 Rockside Rd
Suite 200
Independence, OH 44131-2358
Phone (216) 674-5230
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0058842 | Medicaid | OH | |
| H082431 | Other | OH | MEDICARE PTAN |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332806400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1354233600000",
"number": "1164798906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6701 ROCKSIDE RD",
"address_2": "SUITE 200",
"city": "INDEPENDENCE",
"state": "OH",
"postal_code": "441312358",
"telephone_number": "216-674-5230",
"fax_number": "216-674-5231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6701 ROCKSIDE RD",
"address_2": "SUITE 200",
"city": "INDEPENDENCE",
"state": "OH",
"postal_code": "441312358",
"telephone_number": "216-674-5230",
"fax_number": "216-674-5231"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARK L ALLEN MD, INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-27",
"last_updated": "2012-11-30",
"status": "A",
"authorized_official_last_name": "ALLEN",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "216-674-5230",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": "KS",
"license": "18589",
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0058842",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "H082431",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Independence, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.