David C Allen, MD
Individual provider Active NPI Obstetrics & Gynecology Physician · Twin Falls, ID
NPI 1225045693 · NPPES record last updated Dec 4, 2014
Key facts
- NPI
- 1225045693
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- M6460 (ID)
- Practice address
- 801 Pole Line Rd W
Suite 3880
Twin Falls, ID 83301-5810 - Phone
- (208) 814-8500
- Fax
- (208) 734-4143
- NPI assigned
- Aug 1, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M6460 | ID | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke'S Magic Valley Regional Medical Center LTD | Past | Accepting new patients | |
| Magic Valley Womens Health Clinic, PLLC | Obstetrics & Gynecology | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | M6460 | ID | Yes |
Addresses
Primary practice location
801 Pole Line Rd W
Suite 3880
Twin Falls, ID 83301-5810
Mailing address
PO Box 587
Twin Falls, ID 83303-0587
Phone (208) 814-7400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002607700 | Medicaid | ID |
Other providers in Twin Falls, ID
- Mark Robert Alexander
- Richard E. Alexander
- All About You Hormones and Wellness, PLLC
- Marc Allan
- Scott E. Allan
- Eric Allen
- Janice Allen
- Jaylene Allen
- Julie D. Allen
- Kimberly Rae Allen
All providers in Twin Falls, ID · Obstetrics & Gynecology Physician in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 4, 2014. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.