Organization Active NPI

Allen M. Lifton, MD, PA

  • Neurology Physician
  • Venice, FL
National Provider Identifier
1316283351
Registry record updated Dec 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME73305 Issued in FL
Legal business name
ALLEN M. LIFTON, MD, PA
Practice address
200 Capri Isles Blvd
Suite 7D
Venice, FL 34292-2302
Phone
(941) 485-2220
Fax
(941) 485-2150
NPI assigned
Dec 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2012

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

Authorized official

Name
Dr. Allen Michael Lifton, M.D.NPI 1326144817
Title
President
Phone
(941) 485-2220

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X ME73305 FL Primary

Addresses

Primary practice location

200 Capri Isles Blvd
Suite 7D
Venice, FL 34292-2302

Mailing address

200 Capri Isles Blvd
Suite 7D
Venice, FL 34292-2302
Phone (941) 485-2220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121228000069 FL Part B Supplier - Clinic/Group Practice 3971756859 Receives reassigned benefits from 1 practitioner
Practice locations: Venice, FL

National Provider Directory

National Provider Directory

Locations

200 Capri Isles Blvd
Unit 7D
Venice, FL 34292
Phone (941) 485-2220

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ECCJAA

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1355875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355875200000",
    "number": "1316283351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CAPRI ISLES BLVD",
            "address_2": "SUITE 7D",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342922302",
            "telephone_number": "941-485-2220",
            "fax_number": "941-485-2150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CAPRI ISLES BLVD",
            "address_2": "SUITE 7D",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342922302",
            "telephone_number": "941-485-2220",
            "fax_number": "941-485-2150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEN M. LIFTON, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-19",
        "last_updated": "2012-12-19",
        "status": "A",
        "authorized_official_last_name": "LIFTON",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-485-2220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME73305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.