John S Allen, P.A.
Individual provider Active NPI Physician Assistant · Eaton, OH
NPI 1790953255 · NPPES record last updated Nov 19, 2024
Key facts
- NPI
- 1790953255
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 50.002462 (OH)
- Practice address
- 450B Washington Jackson Rd
Ste 105
Eaton, OH 45320-7601 - Phone
- (937) 456-8350
- Fax
- (937) 456-8351
- NPI assigned
- Feb 18, 2008
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 7
-
Jill B Vosler, D.O
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Alliance Physicians Inc
Practice addresses (Care Compare)
1625 S Alex Rd
West Carrollton, OH 45449-5404
Phone (937) 865-0534
450 B Washington Jackson Blvd
Suite 105
Eaton, OH 45320-7601
Phone (937) 456-8350
450 B Washington Jackson Rd
Suite 108
Eaton, OH 45320-7601
Phone (937) 456-8300
Hospital & facility affiliations
- Kettering Health Dayton
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080410000209 | OH | Practitioner - Physician Assistant | 1254418585 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance Physicians Inc | Current |
Accepting new patients | |
| Hometown Urgent Care of Michigan, P.C. | Current |
Accepting new patients | |
| Hometown Urgent Care of Michigan, PC | Current |
Accepting new patients | |
| Alliance Physicians, Inc. | Current |
Accepting new patients | |
| Jill B Vosler | Current | Accepting new patients |
Locations
7740 Washington Village Dr
Ste 130
Dayton, OH 45459
Phone (513) 932-4891
450B Washington Jackson Rd
#R105
Eaton, OH 45320
Phone (937) 456-8350
450B Washington Jackson Rd
Ste 105
Eaton, OH 45320
Phone (937) 456-8300
6210 Brandt Pike
Huber Heights, OH 45424
Phone (937) 236-8630
1301 W 1st St
Springfield, OH 45504
Phone (937) 271-0066
1625 S Alex Rd
West Carrollton, OH 45449
Phone (937) 865-0534
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 50.002462 | OH | Yes |
Addresses
Primary practice location
450B Washington Jackson Rd
Ste 105
Eaton, OH 45320-7601
Mailing address
450B Washington Jackson Rd
Ste 105
Eaton, OH 45320-7601
Phone (937) 456-8350
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0098696 | Medicaid | OH |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/ | ||
| Direct Messaging Address | jallen160531@direct.ketteringhealth.org |
Other providers in Eaton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 19, 2024. 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.