NPIMap

Organization Active NPI

Allen Family Medicine PLLC

  • Family Medicine Physician
  • Mesa, AZ
National Provider Identifier
1356614176
Registry record updated Feb 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
36540 Issued in AZ
Legal business name
ALLEN FAMILY MEDICINE PLLC
Practice address
7233 E Baseline Rd
Ste 126
Mesa, AZ 85209-5007
Phone
(480) 699-2222
Fax
(480) 699-3033
NPI assigned
Feb 10, 2012
Last updated
Feb 11, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2015

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

Authorized official

Name
Dr. Gregory S AllenNPI 1952380925
Title
President
Phone
(480) 699-2222

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 5521 AZ
Primary Care Nurse Practitioner 363LP2300X F07141310 AZ
Pain Medicine (Anesthesiology) Physician 207LP2900X 44915 AZ
Family Medicine Physician 207Q00000X 36540 AZ Primary
Pain Medicine Physician 208VP0000X 44915 AZ

Addresses

Primary practice location

7233 E Baseline Rd
Ste 126
Mesa, AZ 85209-5007

Mailing address

7233 E Baseline Rd
Ste 126
Mesa, AZ 85209-5007
Phone (480) 699-2222

Other identifiers 3

IdentifierTypeStateIssuer
1952380925OtherAZNATIONAL PROVIDER ID
569897MedicaidAZ
119260-1215960638OtherAZMEDICARE PTAN

National Provider Directory

National Provider Directory

Locations

7233 E Baseline Rd
#126E
Mesa, AZ 85209
Phone (480) 699-2222

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19654/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/21654/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/22064/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1328832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423612800000",
    "number": "1356614176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7233 E BASELINE RD",
            "address_2": "STE 126",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852095007",
            "telephone_number": "480-699-2222",
            "fax_number": "480-699-3033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7233 E BASELINE RD",
            "address_2": "STE 126",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852095007",
            "telephone_number": "480-699-2222",
            "fax_number": "480-699-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEN FAMILY MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-10",
        "last_updated": "2015-02-11",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-699-2222",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "5521",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AZ",
            "license": "F07141310",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "AZ",
            "license": "44915",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "36540",
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "AZ",
            "license": "44915",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL PROVIDER ID",
            "identifier": "1952380925",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "569897",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "119260-1215960638",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.