NPIMap

Organization Active NPI

Allen G. Trager, D.O., P.C.

  • Internal Medicine Physician
  • Flint, MI
National Provider Identifier
1720092406
Registry record updated Feb 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ALLEN G. TRAGER, D.O., P.C.
Practice address
1335 S Linden Rd
Suite C
Flint, MI 48532-3420
Phone
(810) 733-3408
Fax
(810) 733-0984
NPI assigned
Jul 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2014

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

Authorized official

Name
Ms. Tina M Shepard
Title
Manager
Phone
(810) 733-3408

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1335 S Linden Rd
Suite C
Flint, MI 48532-3420

Mailing address

PO Box 321218
Flint, MI 48532-0021
Phone (810) 733-3408

Other identifiers 1

IdentifierTypeStateIssuer
0B511160OtherMIBLUE CROSS & BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

1335 S Linden Rd
Ste C
Flint, MI 48532
Phone (810) 720-6070

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392163200000",
    "number": "1720092406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 321218",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485320021",
            "telephone_number": "810-733-3408",
            "fax_number": "810-733-0984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 S LINDEN RD",
            "address_2": "SUITE C",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323420",
            "telephone_number": "810-733-3408",
            "fax_number": "810-733-0984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEN G. TRAGER, D.O., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2014-02-12",
        "status": "A",
        "authorized_official_last_name": "SHEPARD",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "810-733-3408",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "0B511160",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.