Active NPI
Allman Family Practice,P.C.
- Family Medicine Physician
- Winamac, IN
National Provider Identifier
1235357476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01031116A
- Legal business name
- ALLMAN FAMILY PRACTICE,P.C.
- Practice address
- 613 Terrace Dr
Winamac, IN 46996-1111 - Phone
- (574) 946-6677
- Fax
- (574) 946-7801
- NPI assigned
- Apr 23, 2007
- Last updated
- Feb 1, 2011
- 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. Rex A Allman, M.D.
- Title
- Physician
- Phone
- (574) 946-6677
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01031116A | IN | Primary |
Addresses
Primary practice location
613 Terrace Dr
Winamac, IN 46996-1111
Mailing address
613 Terrace Dr
P.O. Box 70
Winamac, IN 46996-1111
Phone (574) 946-6677
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100210650 | Medicaid | IN |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1296518400000",
"number": "1235357476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "613 TERRACE DR",
"address_2": "P.O. BOX 70",
"city": "WINAMAC",
"state": "IN",
"postal_code": "469961111",
"telephone_number": "574-946-6677",
"fax_number": "574-946-7801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "613 TERRACE DR",
"city": "WINAMAC",
"state": "IN",
"postal_code": "469961111",
"telephone_number": "574-946-6677",
"fax_number": "574-946-7801"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALLMAN FAMILY PRACTICE,P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-23",
"last_updated": "2011-02-01",
"status": "A",
"authorized_official_last_name": "ALLMAN",
"authorized_official_first_name": "REX",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "574-946-6677",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01031116A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100210650",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winamac, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.