Richard Green Allen, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2843 Issued in OK

Practice address

1103 W Cherokee St
Wagoner, OK 74467-4621

Phone

(918) 485-3182

Fax

(918) 485-1032

NPI assigned

Nov 10, 2005

Last updated

Apr 10, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OK

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aspire Health Management, LLC

  dba Aspire Health

  • General Practice Physician
  • Checotah, OK
  • NPI 1053984518
  NPD (past)
• John Belk Family Practice PLLC

  • Family Medicine Physician
  • Wagoner, OK
  • NPI 1134655004
  NPD (past)

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397088000000",
    "number": "1285615757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 W CHEROKEE ST",
            "city": "WAGONER",
            "state": "OK",
            "postal_code": "744674621",
            "telephone_number": "918-485-3182",
            "fax_number": "918-485-1032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 W CHEROKEE ST",
            "city": "WAGONER",
            "state": "OK",
            "postal_code": "744674621",
            "telephone_number": "918-485-3182",
            "fax_number": "918-485-1032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "RICHARD",
        "middle_name": "GREEN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2014-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "2843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100073940D",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100073940A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aaron S Harman DDS PC Inc Dba Lakeside Dental
• Above & Beyond Speech Therapy Services PLLC
• Bryttni Allen Johnson
• Cory Allison
• Karrissa Alred
• Dayna Applegate
• Claressa Armer
• Zenoide Aucoin-Corbeau, LMSW

• Family Medicine Physician in Wagoner, OK
• Providers in Wagoner, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.