Active NPI
William Taylor Allen, MD
- Emergency Medicine Physician
- Hammond, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 330973
- Practice address
- 15790 Paul Vega MD Dr
Hammond, LA 70403-1436 - Phone
- (985) 345-2700
- Fax
- (985) 230-1368
- NPI assigned
- Apr 5, 2019
- Last updated
- Jun 6, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | MS | ||
| Emergency Medicine Physician | 207P00000X | 330973 | LA | Primary |
Addresses
Primary practice location
15790 Paul Vega MD Dr
Hammond, LA 70403-1436
Mailing address
3737 Kings Hwy
Jackson, MS 39216-3324
Phone (601) 480-7170
Other practice location 1
2500 N State St
Jackson, MS 39216-4500
Phone (601) 984-5582
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Mississippi School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15790 Paul Vega MD Dr
Hammond, LA 70403-1434
Phone (985) 230-1683
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 330973 | LA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Tammany Emergency Physicians Group LLC | Emergency Medicine | Current | Accepting new patients |
| North Oaks Medical Center, LLC | Emergency Medicine | Current | Accepting new patients |
| Independent Healthcare Management, Inc | Past | Accepting new patients |
Locations
1202 S Tyler St
Covington, LA 70433
Phone (985) 898-3743
15790 Paul Vega Md Dr
Hammond, LA 70403
Phone (985) 230-1682
2929 Highway 190
Mandeville, LA 70471
Phone (985) 773-1550
Organizations & group practices 3
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.
-
dba North Oaks Med Ctr Professional Billing
- General Acute Care Hospital
- Hammond, LA
- NPI 1972630705
Emergency Medicine
-
- Emergency Medicine Physician
- Covington, LA
- NPI 1891187654
-
dba Forest Family Practice
- Rural Health Clinic/Center
- Forest, MS
- NPI 1649761685
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Hammond, LA
- NPI 1144227539
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686009600000",
"number": "1952863185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3737 KINGS HWY",
"city": "JACKSON",
"state": "MS",
"postal_code": "392163324",
"telephone_number": "601-480-7170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15790 PAUL VEGA MD DR",
"city": "HAMMOND",
"state": "LA",
"postal_code": "704031436",
"telephone_number": "985-345-2700",
"fax_number": "985-230-1368"
}
],
"practiceLocations": [
{
"address_1": "2500 N State St",
"address_purpose": "LOCATION",
"city": "Jackson",
"state": "MS",
"postal_code": "392164500",
"country_code": "US",
"telephone_number": "601-984-5582",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALLEN",
"first_name": "WILLIAM",
"middle_name": "TAYLOR",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-05",
"last_updated": "2023-06-06",
"certification_date": "2023-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MS",
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "LA",
"license": "330973",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hammond, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.