Individual provider Active NPI

Allison J. Keen, MD

  • Obstetrics & Gynecology Physician
  • Willow Grove, PA
National Provider Identifier
1871658989
Registry record updated Jul 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD430424 Issued in PA
Practice address
2300 Computer Rd
Suite E-25
Willow Grove, PA 19090-1752
Phone
(215) 366-1160
Fax
(215) 366-1141
NPI assigned
Dec 27, 2006
Last updated
Jul 14, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD430424 PA Primary

Addresses

Primary practice location

2300 Computer Rd
Suite E-25
Willow Grove, PA 19090-1752

Mailing address

2300 Computer Rd
Suite E-25
Willow Grove, PA 19090-1752
Phone (215) 366-1160

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20070725000285 PA Practitioner - Obstetrics/Gynecology 3870694565 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Philadelphia Womens Health and Wellness LLCGroup PAC ID 0648694414, 3 clinicians

Practice addresses (Care Compare)

3300 Henry Ave
Suite 101
Philadelphia, PA 19129-1146
Phone (267) 335-3152

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD430424PAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Philadelphia Womens Health & Wellness LLC CurrentSince Aug 1, 2020 Accepting new patients

Locations

3300 Henry Ave
Ste 101
Philadelphia, PA 19129
Phone (215) 205-8884

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405296000000",
    "number": "1871658989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 COMPUTER RD",
            "address_2": "SUITE E-25",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190901752",
            "telephone_number": "215-366-1160",
            "fax_number": "215-366-1141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 COMPUTER RD",
            "address_2": "SUITE E-25",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190901752",
            "telephone_number": "215-366-1160",
            "fax_number": "215-366-1141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEEN",
        "first_name": "ALLISON",
        "middle_name": "J.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2014-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD430424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willow Grove, PA

Sources for this page

Verify at the official NPI Registry.