Robert J Allen, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

15874 Issued in AZ

Practice address

1425 S Greenfield Rd
101
Mesa, AZ 85206-5529

Phone

(480) 981-3000

Fax

(480) 654-5761

NPI assigned

Jul 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Robert J Allen Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Summit Medical Group Arizona LLC

  • Family Medicine Physician
  • Glendale, AZ
  • NPI 1053810622
  NPD (past)

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972538569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 S GREENFIELD RD",
            "address_2": "101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852065529",
            "telephone_number": "480-981-3000",
            "fax_number": "480-654-5761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 S GREENFIELD RD",
            "address_2": "101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852065529",
            "telephone_number": "480-981-3000",
            "fax_number": "480-654-5761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "ROBERT",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "15874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBERT",
            "last_name": "ALLEN",
            "middle_name": "J",
            "prefix": "DR.",
            "credential": "M.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Karen Byrnes Allen
• Martina Gabriele Allen, OTRL
• Mason Mark Allen, DO
• Michelle Dewolf Allen, D.O.
• Olivia Parker Allen, PT, DPT
• Roger W Allen, PHARM.D
• Taylor Allen, RPH
• Wilson Elijah Allen, ED.D.
• Jennifer Allenstein, M.S OTR/L
• Allergy Navigators, PLLC

• Family Medicine Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.