Eric Andrew Allen, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

P000000690 Issued in WA

Practice address

1519 3Rd St SE Ste 101
Puyallup, WA 98372-3742

Phone

(253) 838-7980

Fax

(253) 874-0885

NPI assigned

Oct 3, 2006

Last updated

May 22, 2023By 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 WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

California School of Podiatric Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

South Sound Neurosurgery PLLCGroup PAC ID 1254225899, 10 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: eric.allen.1@33199.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/9932/brand/1/csg/1/fhir/r4

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.

• South Sound Neurosurgery PLLC

  • Neurological Surgery Physician
  • Puyallup, WA
  • NPI 1417992389
  Medicare reassignment Care Compare group NPD
• South Sound Neurosurgery PLLC

  • Durable Medical Equipment & Medical Supplies
  • Puyallup, WA
  • NPI 1013503523
  NPD
• South Sound Neurosurgery PLLC

  dba Precision Imaging

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Puyallup, WA
  • NPI 1174799282
  NPD

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1336233402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1519 3RD ST SE STE 101",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983723742",
            "telephone_number": "253-841-0705",
            "fax_number": "253-841-4527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 3RD ST SE STE 101",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983723742",
            "telephone_number": "253-838-7980",
            "fax_number": "253-874-0885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "ERIC",
        "middle_name": "ANDREW",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "WA",
            "license": "P000000690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L AND I",
            "identifier": "0158886",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8322943",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shamso Saeed Ali, NONE
• Kenyatta Monique Alicea
• Alain Alisasis, MD
• Raneem Alkhatib, CD
• Curtis R Allen, PA-C
• Jenna R Allen, LMP
• Joni Allen, LMP
• John Robert Almond
• Aloha Air Services
• Aloha Air Services

• Podiatrist in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Podiatrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; 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.