Individual provider Active NPI

Dafina Wise Allen, M.D.

  • Family Medicine Physician
  • Saginaw, MI
National Provider Identifier
1811288400
Registry record updated Jan 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301108583 Issued in MI
Practice address
3875 Bay Rd Ste 2N
Saginaw, MI 48603-2423
Phone
(989) 792-1375
NPI assigned
Apr 29, 2011
Last updated
Jan 7, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036.134077 IL
Family Medicine Physician 207Q00000X 4301108583 MI Primary

Addresses

Primary practice location

3875 Bay Rd Ste 2N
Saginaw, MI 48603-2423

Mailing address

1447 N Harrison St
Saginaw, MI 48602-4727

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151021000363 MI Practitioner - Family Practice 7911128186 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wayne State University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Great Lakes Bay Health CentersGroup PAC ID 2466369046, 85 clinicians

Practice addresses (Care Compare)

1522 Janes Ave
Saginaw, MI 48601-1819
Phone (989) 755-0316

3023 Davenport Ave
Saginaw, MI 48602-3652
Phone (989) 907-2761

501 Lapeer Ave
Saginaw, MI 48607-1203
Phone (989) 753-6000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036.134077ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Medical Center, Inc Family Medicine CurrentSince Dec 1, 2018 Accepting new patients
Wise Weight Management PC Current Accepting new patients
W. a. Foote Memorial Hospital, Inc Current Accepting new patients
Quality Sleep and Neurology PC CurrentSince Dec 15, 2025 Accepting new patients
Covenant Medical Center, Inc. CurrentSince Dec 1, 2018 Accepting new patients
Covenant Medical Center, Inc. Current Accepting new patients

Locations

16440 Gratiot Rd
Hemlock, MI 48626
Phone (989) 583-0660

1401 W North St
Jackson, MI 49202
Phone (517) 205-2555

205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730

1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220

2172 Hemmeter Rd
Saginaw, MI 48603
Phone (989) 272-8576

3875 Bay Rd
Ste 2N
Saginaw, MI 48603
Phone (989) 583-5300

5570 State St
Saginaw, MI 48603
Phone (989) 583-0100

Interoperability endpoints

  • Direct secure messaging: dafina.allen.1@22256.direct.athenahealth.com
  • Direct secure messaging: dafina.allen.1@27771.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/22256/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1304035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578355200000",
    "number": "1811288400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1447 N HARRISON ST",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486024727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3875 BAY RD STE 2N",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486032423",
            "telephone_number": "989-792-1375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "DAFINA",
        "middle_name": "WISE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-29",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036.134077",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301108583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.