Organization Active NPI

Allen Urology,LLC

  • Urology Physician
  • Albany, GA
National Provider Identifier
1417906033
Registry record updated Nov 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
GA21138 Issued in GA
Legal business name
ALLEN UROLOGY,LLC
Practice address
425 W 3Rd Ave
Suite 550
Albany, GA 31701-1941
Phone
(229) 432-8463
Fax
(229) 432-8465
NPI assigned
May 9, 2006
Last updated
Nov 1, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2007

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

Authorized official

Name
Stephen C Allen, M.D.NPI 1437144904
Title
Owner
Phone
(229) 432-8463

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X GA21138 GA Primary

Addresses

Primary practice location

425 W 3Rd Ave
Suite 550
Albany, GA 31701-1941

Mailing address

425 W 3Rd Ave
Suite 550
Albany, GA 31701-1941
Phone (229) 432-8463

Other identifiers 1

IdentifierTypeStateIssuer
P00306112OtherGARAILROAD

National Provider Directory

National Provider Directory

Locations

425 W 3rd Ave
Ste 550
Albany, GA 31701
Phone (229) 322-8463

Practitioners & affiliated clinicians

Practitioners 1

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": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193875200000",
    "number": "1417906033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 W 3RD AVE",
            "address_2": "SUITE 550",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317011941",
            "telephone_number": "229-432-8463",
            "fax_number": "229-432-8465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 W 3RD AVE",
            "address_2": "SUITE 550",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317011941",
            "telephone_number": "229-432-8463",
            "fax_number": "229-432-8465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEN UROLOGY,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2007-11-01",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-432-8463",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "GA",
            "license": "GA21138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00306112",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; 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.