James Timothy Allen, MD
Individual provider Active NPI Family Medicine Physician · Louisville, KY
NPI 1497844765 · NPPES record last updated May 14, 2019
Key facts
- NPI
- 1497844765
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 22964 (KY)
- Practice address
- 122 S Peterson Ave
Louisville, KY 40206-2537 - Phone
- (502) 931-1592
- NPI assigned
- Oct 12, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22964 | KY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doctors Office 2 U | Past | Accepting new patients | |
| 1St Choice Medical Group, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | 22964 | KY | |
| Family Medicine Physician | 207Q00000X | 22964 | KY | Yes |
Addresses
Primary practice location
122 S Peterson Ave
Louisville, KY 40206-2537
Mailing address
122 S Peterson Ave
Louisville, KY 40206-2537
Phone (502) 931-1592
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26197001 | Other | IN | MEDICARE PTAN |
Other providers in Louisville, KY
- Courtney P Allen
- David Allen
- Denise Allen
- James Kenneth Allen
- James Richard Allen
- Jason Phillip Allen
- Jason Ray Allen
- Jaye Allen
- Jeffrey Michael Allen
- Jeffrey W. Allen
All providers in Louisville, KY · Family Medicine Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 14, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.