Donald Allen III, DO

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

77840-21 Issued in WI

Practice address

7720 W Good Hope Rd
Milwaukee, WI 53223-4516

Phone

(414) 536-0236

Fax

(414) 536-0260

NPI assigned

Mar 29, 2021

Sex

Male

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Children'S Medical Group

  • Pediatrics Physician
  • Glendale, WI
  • NPI 1134394471

  Pediatrics

  NPD (past)
• Children'S Medical Group

  • Pediatrics Physician
  • Milwaukee, WI
  • NPI 1255506598

  Pediatrics

  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: dallen134308@direct.chw.org

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 11, 2024.

{
    "created_epoch": "1616976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1962080309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7720 W GOOD HOPE RD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532234516",
            "telephone_number": "414-536-0236",
            "fax_number": "414-536-0260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7720 W GOOD HOPE RD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532234516",
            "telephone_number": "414-536-0236",
            "fax_number": "414-536-0260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "DONALD",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-29",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WI",
            "license": "77840-21",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962080309",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allegiant Hospice, LLC
• Shannon Pheadra Allen-Gryzwa, MD
• Alethea Allen
• Carl Allen
• Christopher Allen
• Emily Joy Allen, DO
• Evalynn Martina Allen
• Jaclyn Elizabeth Allen, DNP, RN, ACCNS-P
• Jamie Allen, OTD, OTR/L
• Jennifer Lynn Allen

• All providers in Milwaukee, WI
• Pediatrics Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.