E Keith Allen, PAC
Individual provider Active NPI Physician Assistant · Cedar Rapids, IA
NPI 1619953270 · NPPES record last updated Oct 19, 2007
Key facts
- NPI
- 1619953270
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 000948 (IA)
- Practice address
- 6911 C Ave NE
Cedar Rapids, IA 52402-1349 - Phone
- (319) 832-1463
- Fax
- (319) 832-1469
- NPI assigned
- Dec 15, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 15
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Iowa Physicians Clinic Medical Foundation
St Lukes Jones Regional Medical Center
Practice addresses (Care Compare)
153 Collins Rd NE
Unity Point Express
Cedar Rapids, IA 52402-3201
Phone (319) 826-2972
1795 Hwy 64 E
Anamosa, IA 52205-2112
Phone (319) 462-6131
1795 Hwy 64 E 1
Unitypoint Health Jones Regional Me
Anamosa, IA 52205-2112
Phone (319) 481-6291
2375 Edgewood Rd SW
Cedar Rapids, IA 52404-4736
Phone (319) 396-1983
2992 7TH Ave
Marion, IA 52302-3720
Phone (319) 730-8300
4480 Utica Ridge Rd
Bettendorf, IA 52722-1644
4480 Utica Ridge Rd
Suite 160
Bettendorf, IA 52722-1637
Phone (563) 742-5950
Hospital & facility affiliations
- St Lukes Hospital
- Jones Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100212000696 | IA | Practitioner - Physician Assistant | 2961546015 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000948 | IA | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iowa Physicians Clinic Medical Foundation | Physician Assistant | Current |
Accepting new patients |
| St Luke'S Jones Regional Medical Center | Current |
Accepting new patients | |
| Iowa Physicians Clinic Medical Foundation | Current |
Accepting new patients | |
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| St Luke'S Jones Regional Medical Center | Current |
Accepting new patients |
Locations
1795 Highway 64 E
Anamosa, IA 52205
Phone (319) 462-6161
1795 Highway 64 E
Ste 1
Anamosa, IA 52205
Phone (319) 481-6291
4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150
4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950
6911 C Ave NE
Cedar Rapids, IA 52402
Phone (319) 832-1463
1001 N Center Point Rd
Ste C
Hiawatha, IA 52233
Phone (319) 362-0200
2992 7th Ave
Marion, IA 52302
Phone (319) 730-8300
1412 Cedar St
Tipton, IA 52772
Phone (563) 886-2182
Interoperability endpoints
- eallen76305@direct.unitypoint.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 000948 | IA | Yes |
Addresses
Primary practice location
6911 C Ave NE
Cedar Rapids, IA 52402-1349
Mailing address
6911 C Ave NE
Cedar Rapids, IA 52402-1349
Phone (319) 832-1463
Other providers in Cedar Rapids, IA
- Aligned Collective LLC
- Alive Care, LLC
- All Ages Care Services, LLC
- All Body Chiropractic, LLC
- All Heart Staffing, Inc.
- Roger Lee Allen
- Allergy Associates PC
- Allergy Partners, PLLC
- Allergy-Asthma Clinic PC
- Amy Allmandinger
All providers in Cedar Rapids, IA · Physician Assistant in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 19, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.