Jamie Allen, D.O.
Individual provider Active NPI Critical Care Medicine (Internal Medicine) Physician · North Andover, MA
NPI 1194187435 · NPPES record last updated Aug 8, 2023
Key facts
- NPI
- 1194187435
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician 207RC0200X
- License
- 1015407 (MA)
- Practice address
- 565 Turnpike St Ste 85
North Andover, MA 01845-5936 - Phone
- (978) 689-2247
- NPI assigned
- Mar 25, 2016
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 7
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Critical Care (Intensivists)
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Emerson Practice Associates, Inc
Practice addresses (Care Compare)
133 Old Rd to 9 Acre Cor
Concord, MA 01742-4159
Phone (978) 287-3020
Hospital & facility affiliations
- Emerson Hospital -
- Beth Israel Deaconess Medical Center
- Brigham and Women'S Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230711002678 | MA | Practitioner - Critical Care (Intensivists) |
5991072316 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Incare Lawrence PLLC | Multi-Specialty | Current |
Accepting new patients |
| Emerson Practice Associates, Inc. | Multi-Specialty | Current |
Accepting new patients |
| Steward Emergency Physicians, Inc | Multi-Specialty | Current |
Accepting new patients |
| Incare LLC | Multi-Specialty | Current |
Accepting new patients |
| Emerson Hospital | Multi-Specialty | Past | Accepting new patients |
| Steward Holy Family Hospital, Inc. | Multi-Specialty | Past | Accepting new patients |
| LG Newcorp Inc | Multi-Specialty | Past | Accepting new patients |
Locations
200 Groton Rd
Ayer, MA 01432
Phone (978) 784-9000
133 Ornac
Concord, MA 01742
Phone (978) 287-3000
145 Ward Hill Ave
Haverhill, MA 01835
Phone (978) 258-4734
140 Lincoln Ave
Haverhill, MA 01830
Phone (978) 374-2000
70 East St
Methuen, MA 01844
Phone (978) 682-1906
565 Turnpike St
Ste 85
North Andover, MA 01845
Phone (978) 519-4114
88 Washington St
Taunton, MA 02780
Phone (508) 828-7000
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CFFBDD
- https://api.platform.athenahealth.com/18780/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | 1015407 | MA | |
| Critical Care Medicine (Internal Medicine) Physician |
207RC0200X | 1015407 | MA | Yes |
Addresses
Primary practice location
565 Turnpike St Ste 85
North Andover, MA 01845-5936
Mailing address
153 Rollstone Ave
West Sayville, NY 11796-1308
Phone (508) 451-7692
Other providers in North Andover, MA
- Advanced Care House Calls of Massachusetts, LLC
- Alberto Sobrado
- Alden Inc
- Alepmed Dental and Implants Inc
- Maria G Alexandrou Sfikas
- Leslie Allen
- Michelle Marie Allen
- Alliance Lifetime Mental Health, Inc
- Alphacare Home Health Agency
- Stephanie Amann
All providers in North Andover, MA · Critical Care Medicine (Internal Medicine) Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 8, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.