John W Allen, D.O.

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

OP00000786 Issued in WA

Practice address

3920 Outlook Rd
Sunnyside, WA 98944-9202

Phone

(509) 837-6174

Fax

(509) 837-6225

NPI assigned

Dec 19, 2006

Last updated

Jul 8, 2007By 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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497818348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 OUTLOOK RD",
            "city": "SUNNYSIDE",
            "state": "WA",
            "postal_code": "989449202",
            "telephone_number": "509-837-6174",
            "fax_number": "509-837-6225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 OUTLOOK RD",
            "city": "SUNNYSIDE",
            "state": "WA",
            "postal_code": "989449202",
            "telephone_number": "509-837-6174",
            "fax_number": "509-837-6225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "JOHN",
        "middle_name": "W",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "WA",
            "license": "OP00000786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1068857",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amma Serwaa Ababio
• Suleyma Elizabeth Abrams, SUDPT
• Achebe MD PS
• Diane Colleen Affholter, LMP
• Amier Ahmad, MD
• Elizabeth Ambrocio
• Esmeralda Chavez Anderson, ARNP
• Jory Lynn Anderson, D.C.
• Brenda J Anguiano - Alvarez
• Valentin Antoci, MD

• Adult Medicine Physician in Sunnyside, WA
• Providers in Sunnyside, WA by specialty
• Adult Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.