George Kenton Allen, MD
Individual provider Active NPI Anesthesiology Physician · Lebanon, NH
NPI 1730474271 · NPPES record last updated Sep 11, 2015
Key facts
- NPI
- 1730474271
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 17147 (NH)
- Practice address
- 1 Medical Center Dr
DHMC - Anesthesiology
Lebanon, NH 03756-1000 - Phone
- (603) 650-5922
- NPI assigned
- Jun 13, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- Geisel School of Medicine at Dartmouth, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wentworth Douglass Physician Corporation
Practice addresses (Care Compare)
789 Central Ave
Dover, NH 03820-2526
Phone (603) 740-2421
Hospital & facility affiliations
- Wentworth-Douglass Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in MA, NH, ME
- 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 |
|---|---|---|---|---|
| I20150514001819 | MA | Practitioner - Anesthesiology | 2961722970 | Reassigns benefits to 1 organization |
| I20151009001462 | NH | Practitioner - Anesthesiology | 2961722970 | Reassigns benefits to 3 organizations |
| I20200108001555 | ME | Practitioner - Anesthesiology | 2961722970 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 257767 | MA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainehealth | Current |
Accepting new patients | |
| North American Partners in Anesthesia New Hampshire LLP | Anesthesiology | Current |
Accepting new patients |
| Wentworth Douglass Hospital | Current | Accepting new patients | |
| Anesthesia Care Group PC | Anesthesiology | Current |
Accepting new patients |
| Mainehealth | Current | Accepting new patients | |
| Wentworth Douglass Physician Corporation | Current |
Accepting new patients | |
| Wentworth Douglass Physician Corporation | Current |
Accepting new patients | |
| Mainehealth | Current |
Accepting new patients | |
| North American Partners in Anesthesia Massachusetts LLC | Anesthesiology | Current |
Accepting new patients |
Locations
363 Highland Ave
Fall River, MA 02720
Phone (508) 679-7052
300D Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 998-6683
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
6 Glen Cove Dr
Rockport, ME 04856
Phone (207) 596-8000
789 Central Ave
Dover, NH 03820
Phone (603) 740-2832
750 Central Ave
Ste Q
Dover, NH 03820
Phone (603) 742-6030
88 McGregor St
Ste 303
Manchester, NH 03102
Phone (603) 647-9325
100 McGregor St
Manchester, NH 03102
Phone (603) 663-6931
11 Whitehall Rd
Rochester, NH 03867
Phone (603) 330-7905
68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107
Interoperability endpoints
- allen.g.wdh@direct.partners.masshiway.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 257767 | MA | |
| Anesthesiology Physician | 207L00000X | 17147 | NH | Yes |
Addresses
Primary practice location
1 Medical Center Dr
DHMC - Anesthesiology
Lebanon, NH 03756-1000
Mailing address
1 Medical Center Dr
DHMC - Anesthesiology
Lebanon, NH 03756-1000
Phone (603) 650-5922
Other providers in Lebanon, NH
- Alice Peck Day Memorial Hospital
- Alice Peck Day Memorial Hospital-Ecu
- Alignwell PLLC
- Alignwell PLLC
- Christopher S. Allen
- Kimberly Fox Allen
- Martha J Allen
- Sydney Allen
- Shaan Alli
- Hilary C Allison
All providers in Lebanon, NH · Anesthesiology Physician in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2015. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.