Individual provider Active NPI

Gregory Charles Allen, MD

  • Anesthesiology Physician
  • Olympia, WA
National Provider Identifier
1669433538
Registry record updated Aug 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD00037436 Issued in WA
Practice address
3435 Martin Way E Ste G
Olympia, WA 98506-5071
Phone
(360) 438-6400
Fax
(360) 438-6435
NPI assigned
Mar 31, 2006
Last updated
Aug 30, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MD00037436 WA Primary

Addresses

Primary practice location

3435 Martin Way E Ste G
Olympia, WA 98506-5071

Mailing address

PO Box 94625
Seattle, WA 98124-6925

Other practice location 1

3624 Ensign Rd NE
Ste. B
Olympia, WA 98506-5074
Phone (360) 493-6400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567123200000",
    "number": "1669433538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94625",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981246925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3435 MARTIN WAY E STE G",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065071",
            "telephone_number": "360-438-6400",
            "fax_number": "360-438-6435"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3624 Ensign Rd NE",
            "address_2": "Ste. B",
            "address_purpose": "LOCATION",
            "city": "Olympia",
            "state": "WA",
            "postal_code": "985065074",
            "country_code": "US",
            "telephone_number": "360-493-6400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "GREGORY",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2019-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WA",
            "license": "MD00037436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

Verify at the official NPI Registry.