Elaine Allen DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

POD000744 Issued in GA

Legal business name

ELAINE ALLEN DPM

Practice address

203 Woodpark PL
Suite B-200
Woodstock, GA 30188-3705

Phone

(770) 926-6686

Fax

(770) 926-6635

NPI assigned

Aug 29, 2007

Last updated

Oct 1, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elaine Allen, DPMNPI 1417970492

Title

Podiatrist/Owner

Phone

(770) 926-6686

Specialties & licenses 1

Addresses

Other identifiers 8

Other names 1

• Foot & Ankle Clinic Other name

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.

• Elaine Allen, DPM

  • Foot & Ankle Surgery Podiatrist
  • Charlottesville, VA
  • NPI 1417970492
  NPD Authorized official

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254355200000",
    "number": "1881888287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 WOODPARK PL",
            "address_2": "SUITE B-200",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301883705",
            "telephone_number": "770-926-6686",
            "fax_number": "770-926-6635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 WOODPARK PL",
            "address_2": "SUITE B-200",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301883705",
            "telephone_number": "770-926-6686",
            "fax_number": "770-926-6635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELAINE ALLEN DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-29",
        "last_updated": "2009-10-01",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_title_or_position": "PODIATRIST/OWNER",
        "authorized_official_telephone_number": "770-926-6686",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "GA",
            "license": "POD000744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "323715",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "3641408",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4572029",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00240565",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00698167D",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "175445029",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "393136",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "0000163909413",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foot & Ankle Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• East West Pharmacy LLC (East West Pharmacy)
• Ogechi-Ada Ebbis, MS, CCC-
• Rachel Eckelbarger, AGACNP-BC
• Kyle Burke Edwards, O.D.
• Ehi Pharmacy Solutions, LLC.
• Shannon Elari, RBT
• Elder's Journey Home Care of Northern Atlanta, LLC
• Melvin R Eldridge Jr., PH.D.
• Elevate Health Clinics LLC
• Elite Wheelchair Products, Inc

• Podiatrist in Woodstock, GA
• Providers in Woodstock, GA by specialty
• Podiatrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2009; 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.