Organization Active NPI

James R. Allen, M.D.

  • Surgery Physician
  • Morris, IL
National Provider Identifier
1831138247
Registry record updated Sep 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
036078159 Issued in IL
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
020019476OtherILRAIL ROAD MEDICARE
0003200054OtherILBLUE CROSS BLUE SHIELD
036078159MedicaidIL
020442OtherILHEALTH ALLIANCE

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.