Active NPI
James R. Allen, M.D.
- Surgery Physician
- Morris, IL
National Provider Identifier
1831138247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 036078159
- Legal business name
- JAMES R. ALLEN, M.D.
- Practice address
- 1300 Dresden Dr
Morris, IL 60450-2476 - Phone
- (815) 942-5200
- Fax
- (815) 942-5330
- NPI assigned
- Jun 5, 2006
- Last updated
- Sep 18, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mary M. Smith
- Title
- Biller/Coder
- Phone
- (815) 942-5200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 036078159 | IL | Primary |
Addresses
Primary practice location
1300 Dresden Dr
Morris, IL 60450-2476
Mailing address
1300 Dresden Dr
Morris, IL 60450-2476
Phone (815) 942-5200
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020019476 | Other | IL | RAIL ROAD MEDICARE |
| 0003200054 | Other | IL | BLUE CROSS BLUE SHIELD |
| 036078159 | Medicaid | IL | |
| 020442 | Other | IL | HEALTH ALLIANCE |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Surgery Physician
- Morris, IL
- NPI 1871536730
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1221696000000",
"number": "1831138247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 DRESDEN DR",
"city": "MORRIS",
"state": "IL",
"postal_code": "604502476",
"telephone_number": "815-942-5200",
"fax_number": "815-942-5330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 DRESDEN DR",
"city": "MORRIS",
"state": "IL",
"postal_code": "604502476",
"telephone_number": "815-942-5200",
"fax_number": "815-942-5330"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAMES R. ALLEN, M.D.",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-05",
"last_updated": "2008-09-18",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "BILLER/CODER",
"authorized_official_telephone_number": "815-942-5200"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IL",
"license": "036078159",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "020019476",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0003200054",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036078159",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ALLIANCE",
"identifier": "020442",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Morris, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.