Abby Allen, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

50.007026RX Issued in OH

Practice address

7211 N Main St Ste 5
Dayton, OH 45415-2560

Phone

(937) 791-1427

Fax

(937) 702-3187

NPI assigned

Aug 25, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 3

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Physician Assistant

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

ND Health AssociatesGroup PAC ID 5890143234, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• ND Health Associates

  • Internal Medicine Physician
  • Blue Ash, OH
  • NPI 1154101491

  OH

  Medicare reassignment Care Compare group
• Decoach Team LLC

  • Adult Mental Health Clinic/Center
  • Cincinnati, OH
  • NPI 1578037552
  NPD

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

{
    "created_epoch": "1629849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1992472260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CROWNE POINT PL",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452415427",
            "telephone_number": "513-743-7628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7211 N MAIN ST STE 5",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454152560",
            "telephone_number": "937-791-1427",
            "fax_number": "937-702-3187"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5785 Troy Frederick Rd",
            "address_purpose": "LOCATION",
            "city": "Tipp City",
            "state": "OH",
            "postal_code": "453719677",
            "country_code": "US",
            "telephone_number": "937-414-5420",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8240 Northcreek Dr",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452362377",
            "country_code": "US",
            "telephone_number": "513-246-2300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "ABBY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-25",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.007026RX",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "1177136",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "address_1": "5785 Troy Frederick Rd",
            "city": "Tipp City",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453719677",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "address_1": "5785 Troy Frederick Rd",
            "city": "Tipp City",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453719677",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://pathihc.com/our-locations/behavioral-health-ohio/dayton-main/",
            "affiliation": "N",
            "endpointDescription": "Website",
            "address_1": "7211 N Main St Ste 5",
            "city": "Dayton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454152560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Patrick Francis Allan, M.D.
• Jessica Ray Alldredge, PH.D.
• Allen C Guehl DPM Inc
• Allen C Guehl DPM Inc
• Rhonda Allen-Garry, LSW
• Alyssa Anne Allen
• Aniya S Allen
• Benjamin Reid Allen, PHARMD
• Brian William Allen, CDCA
• Ciara Allen, LPN

• All providers in Dayton, OH
• Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.

Verify at the official NPI Registry.