Active NPI
Max M. Allen Jr., D.O.
- Family Medicine Physician
- Norton Shores, MI
National Provider Identifier
1659562213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5101004753
- Practice address
- 800 E Ellis Rd
Suite 225
Norton Shores, MI 49441-5646 - Phone
- (231) 798-9840
- Fax
- (231) 798-9740
- NPI assigned
- Aug 7, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5101004753 | MI | Primary |
Addresses
Primary practice location
800 E Ellis Rd
Suite 225
Norton Shores, MI 49441-5646
Mailing address
PO Box 1239
Troy, MI 48099-1239
Phone (248) 824-6600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101004753 | MI | MD | Family Medicine Physician |
| 752 | NE | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Housecall | Past | Accepting new patients | |
| Pawhuska IHS Pharmacy | Past | Accepting new patients | |
| Spirit Lake Health Center | Past | Accepting new patients | |
| Spirit Lake Tribe | Past | Accepting new patients | |
| Vpa PC | Family Medicine | Past | Accepting new patients |
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Adult Health Nurse Practitioner
- Kalamazoo, MI
- NPI 1811384308
-
- Family Medicine Physician
- Norton Shores, MI
- NPI 1205068509
-
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Pawhuska, OK
- NPI 1952303190
-
- Health Service Clinic/Center
- Fort Totten, ND
- NPI 1073665493
-
- Health Service Clinic/Center
- Fort Totten, ND
- NPI 1114472891
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377561600000",
"number": "1659562213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1239",
"city": "TROY",
"state": "MI",
"postal_code": "480991239",
"telephone_number": "248-824-6600",
"fax_number": "248-324-1477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 E ELLIS RD",
"address_2": "SUITE 225",
"city": "NORTON SHORES",
"state": "MI",
"postal_code": "494415646",
"telephone_number": "231-798-9840",
"fax_number": "231-798-9740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "MAX",
"middle_name": "M.",
"name_suffix": "Jr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-07",
"last_updated": "2013-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "5101004753",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norton Shores, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.