Ira Steven Allen, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

MD00028379 Issued in WA

Practice address

1280 116TH Ave NE
Suite 210
Bellevue, WA 98004-3803

Phone

(425) 646-0922

Fax

(425) 646-0925

NPI assigned

Feb 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Eastside Pathology Inc PS

  • Clinical Medical Laboratory
  • Bellevue, WA
  • NPI 1013184621

  Anatomic Pathology & Clinical Pathology

  NPD (past)
• Eastside Pathology Inc PS

  • Anatomic Pathology & Clinical Pathology Physician
  • Bellevue, WA
  • NPI 1609830900
  NPD (past)

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400544000000",
    "number": "1790750594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13103 E MANSFIELD AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992161642",
            "telephone_number": "509-892-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 116TH AVE NE",
            "address_2": "SUITE 210",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043803",
            "telephone_number": "425-646-0922",
            "fax_number": "425-646-0925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "IRA",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2014-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "WA",
            "license": "MD00028379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8477143",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tala Alkhudari
• All Star Chiropractic & Massage
• Ashley Allemeier
• David B Allen, PHD
• Elizabeth Allen, MSW, LAICSW, SUDP-T
• Kelly Gateley Allen, LMT
• Kimberly Stern Allen, OTR/L
• Marissa Allen, BCBA, LBA
• Olivia Allen, OT
• Robin Howard Allen, LMHC

• Anatomic Pathology & Clinical Pathology Physician in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Anatomic Pathology & Clinical Pathology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.