Organization Active NPI

Allen Medical, PLLC

  • Pulmonary Disease Physician
  • Oklahoma City, OK
National Provider Identifier
1568838696
Registry record updated Aug 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
ALLEN MEDICAL, PLLC
Practice address
1226 N Shartel Ave
Ste 100
Oklahoma City, OK 73103-2421
Phone
(405) 942-3737
Fax
(405) 942-3873
NPI assigned
Aug 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2015

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

Authorized official

Name
Dr. David Randel Allen, M.D.NPI 1154398410
Title
President/Ceo
Phone
(405) 942-3737

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
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X Primary

Addresses

Primary practice location

1226 N Shartel Ave
Ste 100
Oklahoma City, OK 73103-2421

Mailing address

1226 N Shartel Ave
Ste 100
Oklahoma City, OK 73103-2421
Phone (405) 942-3737

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151130000530 OK Part B Supplier - Clinic/Group Practice 1658671599 Receives reassigned benefits from 1 practitioner
Practice locations: Oklahoma City, OK

National Provider Directory

National Provider Directory

Locations

1226 N Shartel Ave
Apt 100
Oklahoma City, OK 73103
Phone (400) 522-2254

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1439337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439337600000",
    "number": "1568838696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1226 N SHARTEL AVE",
            "address_2": "STE 100",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731032421",
            "telephone_number": "405-942-3737",
            "fax_number": "405-942-3873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1226 N SHARTEL AVE",
            "address_2": "STE 100",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731032421",
            "telephone_number": "405-942-3737",
            "fax_number": "405-942-3873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEN MEDICAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-12",
        "last_updated": "2015-08-12",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "RANDEL",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "405-942-3737",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.