Mollyann G. Allen, P.A.-C.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2167 Issued in AZ

Practice address

18185 N 83Rd Ave
BLDG D, Ste 107
Glendale, AZ 85308

Phone

(623) 583-0306

Fax

(623) 583-1349

NPI assigned

Apr 2, 2007

Last updated

Aug 20, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Norterra Family Medicine, PLLC

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1700034956
  Medicare reassignment
• Ultimate Urgent Care Centers

  • Urgent Care Clinic/Center
  • Peoria, AZ
  • NPI 1356547798
  NPD (past)
• VHS Outpatient Clinics, Inc.

  dba Abrazo Medical Group

  • Multi-Specialty Clinic/Center
  • Goodyear, AZ
  • NPI 1912979964

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219190400000",
    "number": "1932220639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8620 N 22ND AVE",
            "address_2": "200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850214251",
            "telephone_number": "602-674-6506",
            "fax_number": "602-674-6512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18185 N 83RD AVE",
            "address_2": "BLDG D, STE 107",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "85308",
            "telephone_number": "623-583-0306",
            "fax_number": "623-583-1349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "MOLLYANN",
        "middle_name": "G.",
        "credential": "P.A.-C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2008-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "2167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "2167",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "318488",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• All Star Quality Products LLC
• Meriem Allahwerdy
• Michael G Allard, DDS.MD.
• Allen Foot and Ankle Medicine and Surgery PLC
• Anthony Allen, PRSS
• Robert James Allen, M.D.
• Dareen Allie
• Jena Allred, PHARMACIST INTERN
• Allura Home Health and Hospice LLC
• Adnan Almazloum

• Physician Assistant in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.