NPIMap

Individual provider Active NPI

William Z Allen, PA

  • Physician Assistant
  • Baker City, OR
National Provider Identifier
1730497520
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA152721 Issued in OR
Practice address
3175 Pocahontas.Rd
Samg Baker Clinic Family Practice
Baker City, OR 97814
Phone
(541) 523-4415
Fax
(541) 523-2399
NPI assigned
Sep 15, 2010
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA152721 OR Primary

Addresses

Primary practice location

3175 Pocahontas.Rd
Samg Baker Clinic Family Practice
Baker City, OR 97814

Mailing address

3340 E Goldstone Way
Meridian, ID 83642-1026
Phone (541) 523-4415

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101103001380 OR Practitioner - Physician Assistant 6204020217 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Alphonsus Medical Center Baker City IncGroup PAC ID 4981732518, shared by 3 NPIs, 15 clinicians

Practice addresses (Care Compare)

3325 Pocahontas Rd
Baker City, OR 97814-1464
Phone (541) 524-2965

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA152721ORMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Alphonsus Medical Center Baker City, Inc CurrentSince Jul 1, 2014 Accepting new patients
Saint Alphonsus Medical Center Baker City, Inc CurrentSince Jul 1, 2014 Accepting new patients
Baker Clinic, LLP Current Accepting new patients

Locations

3340 E Goldstone Dr
Meridian, ID 83642
Phone (208) 302-9342

3175 Pocahontas Rd
Baker City, OR 97814
Phone (208) 302-2200

3325 Pocahontas Rd
Baker City, OR 97814
Phone (541) 523-1797

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1523/brand/1/csg/23/fhir/r4
  • Direct secure messaging: wallen1564004@direct.trinity-health.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1284508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1730497520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 E GOLDSTONE WAY",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836421026",
            "telephone_number": "541-523-4415",
            "fax_number": "541-523-2399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3175 POCAHONTAS.RD",
            "address_2": "SAMG BAKER CLINIC FAMILY PRACTICE",
            "city": "BAKER CITY",
            "state": "OR",
            "postal_code": "97814",
            "telephone_number": "541-523-4415",
            "fax_number": "541-523-2399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "WILLIAM",
        "middle_name": "Z",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-15",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA152721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baker City, OR

Sources for this page

Verify at the official NPI Registry.