Samantha Adeline Allen, DO, MSC
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Baltimore, MD
NPI 1689475709 · NPPES record last updated Mar 24, 2025
Key facts
- NPI
- 1689475709
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 22 S Greene St RM N3E09
Baltimore, MD 21201-1544 - Phone
- (410) 328-6110
- NPI assigned
- Mar 24, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250828005429 | MD | Order and Referring Only - Neurology |
8729589924 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
22 S Greene St RM N3E09
Baltimore, MD 21201-1544
Mailing address
22 S Greene St RM N3E09
Baltimore, MD 21201-1544
Phone (410) 328-6110
NPI Registry JSON
{
"created_epoch": "1742774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742774400000",
"number": "1689475709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 S GREENE ST RM N3E09",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212011544",
"telephone_number": "410-328-6110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 S GREENE ST RM N3E09",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212011544",
"telephone_number": "410-328-6110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "SAMANTHA",
"middle_name": "ADELINE",
"credential": "DO, MSC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-03-24",
"last_updated": "2025-03-24",
"certification_date": "2025-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
- Philip O Allen Jr.
- Rachel Ann Allen
- Reginald Marcus Allen
- Ricci Allen
- Rosalynn Joy Allen
- Samuel Dane Allen
- Sean Paul Allen
- Shada Michelle Allen
- Shyasia Allen
- Tasha Nate Allen
All providers in Baltimore, MD · Student in an Organized Health Care Education/Training Program in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 24, 2025. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.