Active NPI
Andria M. Allen, DO
- Family Medicine Physician
- Ripley, WV
National Provider Identifier
1174951263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 3139
- Practice address
- 420 Charleston Dr Ste B
Ripley, WV 25271-1714 - Phone
- (681) 661-0123
- Fax
- (833) 431-1250
- NPI assigned
- Oct 29, 2013
- Last updated
- Dec 16, 2024
- 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 | 3139 | WV | Primary |
Addresses
Primary practice location
420 Charleston Dr Ste B
Ripley, WV 25271-1714
Mailing address
420 Charleston Dr Ste B
Ripley, WV 25271-1714
Phone (681) 661-0123
Other names 1
- Dr. Andria M. Painter
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Nov 30, 2020 through Nov 30, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Association | Past | Accepting new patients |
Organizations & group practices 1
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 Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734307200000",
"number": "1174951263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 CHARLESTON DR STE B",
"city": "RIPLEY",
"state": "WV",
"postal_code": "252711714",
"telephone_number": "681-661-0123",
"fax_number": "833-431-1250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 CHARLESTON DR STE B",
"city": "RIPLEY",
"state": "WV",
"postal_code": "252711714",
"telephone_number": "681-661-0123",
"fax_number": "833-431-1250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "ANDRIA",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-29",
"last_updated": "2024-12-16",
"certification_date": "2024-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WV",
"license": "3139",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANDRIA",
"last_name": "PAINTER",
"middle_name": "M.",
"prefix": "DR.",
"credential": "DO",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Ripley, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.