Loren Barry Allen, MD

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

C4685 Issued in AR

Practice address

1223 W Poplar St
Rogers, AR 72756-4245

Phone

(479) 636-9235

Fax

(479) 631-0374

NPI assigned

May 1, 2006

Last updated

Apr 9, 2020By the provider in NPPES

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

Enrolled in AR

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

Specialty

Pediatric Medicine

Education

University of Arkansas College of Medicine, 1973

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St. Francis House Nwa, Inc.Group PAC ID 0042262495, 67 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: barry.allen@ccn.eclinicaldirectplus.com

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.

• St Francis House Nwa, Inc

  dba Community Clinic Central Junior High

  • Federally Qualified Health Center (FQHC)
  • Springdale, AR
  • NPI 1821838996
  Medicare reassignment Care Compare group NPD
• St Francis House Nwa, Inc

  dba Community Clinic West Fork

  • Federally Qualified Health Center (FQHC)
  • West Fork, AR
  • NPI 1336986785
  NPD
• St. Francis House Nwa, Inc.

  dba Community Clinic Springdale Medical

  • Federally Qualified Health Center (FQHC)
  • Springdale, AR
  • NPI 1699785089
  NPD
• St. Francis House Nwa, Inc.

  dba Community Clinic Rogers Medical

  • Federally Qualified Health Center (FQHC)
  • Rogers, AR
  • NPI 1710160098
  NPD (past)

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586390400000",
    "number": "1811955974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 E EMMA AVE",
            "address_2": "SUITE 300",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727644634",
            "telephone_number": "479-751-7417",
            "fax_number": "479-751-4898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 W POPLAR ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727564245",
            "telephone_number": "479-636-9235",
            "fax_number": "479-631-0374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "LOREN",
        "middle_name": "BARRY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2020-04-09",
        "certification_date": "2020-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "AR",
            "license": "C4685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101132001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• All About Teeth
• Allam Dalati (OrthoCare)
• William Allbright
• Brittany S Allen
• Kory Allen, OD
• William M. Allen, M.D.
• Alliance Counseling & Therapy LLC
• Jeffrey Alliston, M.D.
• Madeline Allsup
• Alternative Opportunities (Dayspring Behavioral Health of Rogers)

• Pediatric Adolescent Medicine Physician in Rogers, AR
• Providers in Rogers, AR by specialty
• Pediatric Adolescent Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.