Active NPI
Allen L Schlamp, M.D.
- Diagnostic Radiology Physician
- Jackson, TN
National Provider Identifier
1265409767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD07402
- Practice address
- 620 Skyline Drive
Jackson, TN 38301-3901 - Phone
- (731) 660-8759
- NPI assigned
- Mar 2, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD07402 | TN | Primary |
Addresses
Primary practice location
620 Skyline Drive
Jackson, TN 38301-3901
Mailing address
1947A Madison St
Clarksville, TN 37043-5066
Phone (931) 647-5034
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300056940 | Other | RR MEDICARE | |
| 3059549 | Other | BCBS | |
| P00378492 | Other | RR MEDICARE | |
| 3828339 | Medicaid | TN | |
| 3038017 | Medicaid | TN | |
| 3038018 | Medicaid | TN | |
| 3328408 | Medicaid | TN | |
| 4102656 | Other | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD07402 | TN | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jackson Madison County General Hospital | Past | Accepting new patients | |
| Bolivar General Hospital, Inc. | Past | Accepting new patients | |
| Bolivar General Hospital, Inc. | Past | Accepting new patients | |
| Tennessee Imaging Consultants | Past | Accepting new patients | |
| Jackson Radiology Associates PA | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- General Acute Care Hospital
- Bolivar, TN
- NPI 1174545446
-
- Critical Access Hospital
- Bolivar, TN
- NPI 1518957950
-
- General Practice Physician
- Jackson, TN
- NPI 1467493916
-
- Diagnostic Radiology Physician
- Jackson, TN
- NPI 1699700716
-
- Specialist
- Springfield, TN
- NPI 1417238577
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248048000000",
"number": "1265409767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1947A MADISON ST",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370435066",
"telephone_number": "931-647-5034",
"fax_number": "931-552-6663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 SKYLINE DRIVE",
"city": "JACKSON",
"state": "TN",
"postal_code": "383013901",
"telephone_number": "731-660-8759"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHLAMP",
"first_name": "ALLEN",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-02",
"last_updated": "2009-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TN",
"license": "MD07402",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "300056940",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "3059549",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00378492",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3828339",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3038017",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3038018",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3328408",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "4102656",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.