Active NPI
William Thomas Allen, MD
- Sleep Medicine (Internal Medicine) Physician
- Southfield, MI
National Provider Identifier
1891016317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Medicine (Internal Medicine) Physician
- License
- 4301035090
- Practice address
- 24681 Northwestern Hwy
Suite 301
Southfield, MI 48075-2305 - Phone
- (248) 304-0340
- NPI assigned
- Jun 18, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | 4301035090 | MI | Primary |
Addresses
Primary practice location
24681 Northwestern Hwy
Suite 301
Southfield, MI 48075-2305
Mailing address
6463 Wyndham Dr
West Bloomfield, MI 48322-1070
Phone (248) 960-9590
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301035090 | MI | MD | Sleep Medicine (Internal Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276819200000",
"number": "1891016317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6463 WYNDHAM DR",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483221070",
"telephone_number": "248-960-9590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24681 NORTHWESTERN HWY",
"address_2": "SUITE 301",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480752305",
"telephone_number": "248-304-0340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "WILLIAM",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-06-18",
"last_updated": "2010-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "MI",
"license": "4301035090",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.