Individual provider Active NPI

Robert B Allison, D.O.

  • Geriatric Medicine (Family Medicine) Physician
  • Erie, PA
National Provider Identifier
1235310079
Registry record updated Jan 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
OS 003552L Issued in PA
Practice address
4234 Buffalo Rd
Erie, PA 16510-2178
Phone
(814) 899-0691
Fax
(814) 899-6260
NPI assigned
Nov 20, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X OS 003552L PA Primary

Addresses

Primary practice location

4234 Buffalo Rd
Erie, PA 16510-2178

Mailing address

4234 Buffalo Rd
Erie, PA 16510-2178
Phone (814) 899-0691

Other identifiers 1

IdentifierTypeStateIssuer
000612505MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110112000543 PA Practitioner - Family PracticePractitioner - Osteopathic Manipulative MedicinePractitioner - Geriatric Medicine 5193917722 Practice locations: Erie, PA

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine, Osteopathic Manipulative Medicine
Education
Kansas City College of Medicine and Surgery, 1975
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4208 Main St
Erie, PA 16511-1970
Phone (814) 899-0691

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS 003552LPAMDGeriatric Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Robert B. Allison, D.O. PastSince Apr 12, 2021 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485475200000",
    "number": "1235310079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4234 BUFFALO RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165102178",
            "telephone_number": "814-899-0691",
            "fax_number": "814-899-6260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4234 BUFFALO RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165102178",
            "telephone_number": "814-899-0691",
            "fax_number": "814-899-6260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLISON",
        "first_name": "ROBERT",
        "middle_name": "B",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-20",
        "last_updated": "2017-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "PA",
            "license": "OS 003552L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000612505",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.