Active NPI
Kathleen G. Allen, MD
- Surgery Physician
- Clearwater, FL
National Provider Identifier
1700822152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- ME102539
- Practice address
- 400 Pinellas St
Suite 200
Clearwater, FL 33756-3312 - Phone
- (727) 462-2131
- Fax
- (727) 462-2115
- NPI assigned
- Jun 22, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ME102539 | FL | Primary |
Addresses
Primary practice location
400 Pinellas St
Suite 200
Clearwater, FL 33756-3312
Mailing address
PO Box 10744
Clearwater, FL 33757-8744
Phone (727) 532-0002
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000385000 | Medicaid | FL | |
| P00710187 | Other | FL | RAILROAD MEDICARE PROVIDER NUMBER |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health Medical Group, Inc. | Past | Accepting new patients | |
| Samuel, Stewart & Associates, PSC | Surgery | Past | Accepting new patients |
| Baptist Health Medical Group Inc | Past | Accepting new patients |
Organizations & group practices 3
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424304000000",
"number": "1700822152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10744",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337578744",
"telephone_number": "727-532-0002",
"fax_number": "727-266-4928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 PINELLAS ST",
"address_2": "SUITE 200",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337563312",
"telephone_number": "727-462-2131",
"fax_number": "727-462-2115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "KATHLEEN",
"middle_name": "G.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-22",
"last_updated": "2015-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "ME102539",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000385000",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PROVIDER NUMBER",
"identifier": "P00710187",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.