Allan Jeffery, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

5745854-1204 Issued in UT

Practice address

1055 N 500 W
Suite 212
Provo, UT 84604-3305

Phone

(801) 374-2362

Fax

(801) 429-8196

NPI assigned

Nov 16, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

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

Specialty

Internal Medicine

Education

Kansas City Medical College, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aandc Johnston LLCGroup PAC ID 5799107025, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: healthandvitality.allanjeffery@144246.advancedmd-direct.com

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.

• A&C Johnston LLC

  dba Health & Vitality

  • Family Medicine Physician
  • Orem, UT
  • NPI 1962025452

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• University of Utah Community Physicians Group

  dba Intensive Outpatient Clinic (Medical)

  • Family Medicine Physician
  • Salt Lake City, UT
  • NPI 1467241554
  Medicare reassignment
• University of Utah Community Physicians Group

  dba UUHC - Redstone Center

  • Family Medicine Physician
  • Park City, UT
  • NPI 1053715763
  NPD
• University of Utah Community Physicians Group

  • General Practice Physician
  • Salt Lake City, UT
  • NPI 1124422126
  NPD
• University of Utah Community Physicians Group

  dba UUHC - Stansbury Health Center

  • Family Medicine Physician
  • Stansbury PK, UT
  • NPI 1497159107
  NPD
• Healthy Habits Wellness Clinic Inc

  • Chiropractor
  • Meridian, ID
  • NPI 1336273267
  NPD
• Revere Health PC

  dba Revere Health

  • Multi-Specialty Clinic/Center
  • Spanish Fork, UT
  • NPI 1851142285
  NPD (past)
• All Horizons Inc

  dba All Seasons Mental Health

  • Mental Health Counselor
  • Boise, ID
  • NPI 1285767574
  NPD (past)
• Targhee Internal Medicine

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Rexburg, ID
  • NPI 1639391477

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336212414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 N 500 W",
            "address_2": "CREDENTIALING DEPARTMENT",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846043305",
            "telephone_number": "801-354-8215",
            "fax_number": "801-429-8180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 N 500 W",
            "address_2": "SUITE 212",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846043305",
            "telephone_number": "801-374-2362",
            "fax_number": "801-429-8196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFERY",
        "first_name": "ALLAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "UT",
            "license": "5745854-1204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Jaussi
• Jay D Scott DDS PC (Unison Dental)
• Andrew Thomas Jaynes
• Emily Megan Jefferies
• Zachary Jordan Jeffers
• Elizabeth Jeffery
• Jeffords Chiropractic
• Jeffrey L Mathews MD a Professional Corporation
• Jeffrey L Trapnell DDS PLLC (Trapnell Orthodontics)
• Shannon Jeffs

• Internal Medicine Physician in Provo, UT
• Providers in Provo, UT by specialty
• Internal Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.