Active NPI
Joseph H Allan, MD
- Otolaryngology Physician
- Salem, OR
National Provider Identifier
1841295664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- AA2195116
- Practice address
- 3099 River Rd S
Salem, OR 97302-9754 - Phone
- (503) 581-1567
- Fax
- (503) 399-1229
- NPI assigned
- Jun 17, 2005
- Last updated
- Oct 31, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | AA2195116 | OR | Primary |
Addresses
Primary practice location
3099 River Rd S
Salem, OR 97302-9754
Mailing address
3099 River Rd S
Salem, OR 97302-9754
Phone (503) 581-1567
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004809 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Willamette Ear Nose & Throat LLP | Otolaryngology | Current | Accepting new patients |
Locations
3099 River Rd S
Ste 150
Salem, OR 97302
Phone (503) 485-2581
Organizations & group practices 1
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": "1118966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320019200000",
"number": "1841295664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3099 RIVER RD S",
"city": "SALEM",
"state": "OR",
"postal_code": "973029754",
"telephone_number": "503-581-1567",
"fax_number": "503-399-1229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3099 RIVER RD S",
"city": "SALEM",
"state": "OR",
"postal_code": "973029754",
"telephone_number": "503-581-1567",
"fax_number": "503-399-1229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLAN",
"first_name": "JOSEPH",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-17",
"last_updated": "2011-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "OR",
"license": "AA2195116",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004809",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.