Arthur Harry Allen, D.O.
Individual provider Active NPI Facial Plastic Surgery Physician · Murray, KY
NPI 1891784104 · NPPES record last updated Jan 12, 2012
Key facts
- NPI
- 1891784104
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Facial Plastic Surgery Physician 207YS0123X
- License
- 056950 (GA)
- Practice address
- 300 S 8TH St
Suite 403E
Murray, KY 42071-2400 - Phone
- (270) 762-1567
- Fax
- (270) 762-1568
- NPI assigned
- Oct 19, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056950 | GA | MD | Facial Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tallahassee Ear, Nose & Throat-Head & Neck Surgery, P.a. | Past | Accepting new patients | |
| Georgia ENT & Facial Plastics, P.C. | Facial Plastic Surgery | Past | Accepting new patients |
| Joseph H. Berger, MD, LLC | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Facial Plastic Surgery Physician | 207YS0123X | 056950 | GA | Yes |
Addresses
Primary practice location
300 S 8TH St
Suite 403E
Murray, KY 42071-2400
Mailing address
300 S 8TH St
Suite 480W
Murray, KY 42071-2400
Phone (270) 762-1567
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 482753103D | Medicaid | GA |
Other providers in Murray, KY
- Ciarra Alderman
- Dana C Alexander
- Gene Steven Alexander Sr.
- Alexandria May Mehr Pharm D
- Aligned Health, PLLC
- Alliance Health Care, LLC
- Alpha Pharmacy/Dba Dr Pharmacy of NC
- Erin Alton
- Bobbi Jean Anderson
- Cristina Anne Anderson
All providers in Murray, KY · Facial Plastic Surgery Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 12, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.