George H Allen, DO
Individual provider Active NPI Anesthesiology Physician · Kalispell, MT
NPI 1386987113 · NPPES record last updated Jun 27, 2018
Key facts
- NPI
- 1386987113
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 57376 (MT)
- Practice address
- 310 Sunnyview LN
Kalispell, MT 59901 - Phone
- (406) 752-5111
- NPI assigned
- Mar 29, 2013
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northern Rockies Anesthesia Consultants PLLC
Practice addresses (Care Compare)
310 Sunnyview LN
Kalispell, MT 59901-3129
Phone (406) 752-5111
Hospital & facility affiliations
- Logan Health Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170515001419 | MT | Practitioner - Anesthesiology | 3577840800 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57376 | MT | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Rockies Anesthesia Consultants PLLC | Single Specialty | Current |
Accepting new patients |
Locations
310 Sunnyview Ln
Kalispell, MT 59901
Phone (406) 751-5310
106 Ridgewater Dr
Ste A
Polson, MT 59860
Phone (406) 883-3200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Anesthesiology Physician |
207L00000X | 57376 | MT | Yes |
Addresses
Primary practice location
310 Sunnyview LN
Kalispell, MT 59901
Mailing address
PO Box 24823
Seattle, WA 98124-0823
Phone (425) 407-1000
Other practice location 1
3578 E Shore Dr
Helena, MT 59602-9737
Phone (406) 599-2070
Other providers in Kalispell, MT
- Mary Alexine
- Alida Troxell Therapy PLLC
- Aligned Mental Health LLC
- All Families Health Care, PC
- Toby Allan
- Joseph Allen
- Kirsten Ann Allen
- Marni A Allen
- Scott Michael Allen
- Allergy & Asthma Center, PC
All providers in Kalispell, MT · Anesthesiology Physician in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 27, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.