William M. Allen, M.D.
Individual provider Active NPI Cardiovascular Disease Physician · Rogers, AR
NPI 1912955824 · NPPES record last updated Sep 24, 2008
Key facts
- NPI
- 1912955824
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- License
- R3669 (AR)
- Practice address
- 701 Horsebarn Road
Suite 101
Rogers, AR 72758 - Phone
- (479) 273-9700
- Fax
- (479) 273-9706
- NPI assigned
- May 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R3669 | AR | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Aesthetics & Wellness Center PA, Earlmd Family Medicine PA | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | R3669 | AR | Yes |
Addresses
Primary practice location
701 Horsebarn Road
Suite 101
Rogers, AR 72758
Mailing address
P.O. Box 16871
Jonesboro, AR 72403-6714
Phone (479) 273-9700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 112321001 | Medicaid | AR |
Other providers in Rogers, AR
- Allam Dalati
- William Allbright
- Brittany S Allen
- Kory Allen
- Loren Barry Allen
- Alliance Counseling & Therapy LLC
- Jeffrey Alliston
- Madeline Allsup
- Alternative Opportunities
- Patrick Ameling
All providers in Rogers, AR · Cardiovascular Disease Physician in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 24, 2008. 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.