Medcare Physician LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

R7P15 Issued in MO

Legal business name

MEDCARE PHYSICIAN LLC

Practice address

2117 Bentley Plaza
Fenton, MO 63026

Phone

(636) 225-2273

Fax

(636) 225-2275

NPI assigned

Apr 4, 2007

Organization subpart

No

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

Authorized official

Name

Victoria L Allen, DO

Title

Physician

Phone

(636) 225-2273

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• Victoria L Allen DO Other name

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288051200000",
    "number": "1417079377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2117 BENTLEY PLAZA",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "63026",
            "telephone_number": "636-225-2273",
            "fax_number": "636-225-2275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2117 BENTLEY PLAZA",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "63026",
            "telephone_number": "636-225-2273",
            "fax_number": "636-225-2275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDCARE PHYSICIAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2010-10-26",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "636-225-2273",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "R7P15",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5538116",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "116943",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "205957",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "0105047",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERCY",
            "identifier": "E96534",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHP",
            "identifier": "52993",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Victoria L Allen DO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kelsey McDonald, DC
• Kathleen McDonough, MSW, LCSW
• Dawn Marie McFarland, PSY.D.
• Courtney McGhee
• McPherson Medical & Diagnostic LLC
• Medexpress Urgent Care Missouri P.C.
• Rebecca Theresa Medlock, AGACNP-BC
• Jason Michael Mehrtens, MD
• Gary E. Meier, P.T.
• John Mellas, MD

• Family Medicine Physician in Fenton, MO
• Providers in Fenton, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2010; 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.