Malcolm S Allen III, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Orem, UT
NPI 1992809529 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1992809529
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 213871-4406 (UT)
- Practice address
- 750 W 800 N
Orem, UT 84057-3660 - Phone
- (800) 748-4868
- Fax
- (801) 733-5618
- NPI assigned
- Sep 12, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1491 | CA | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 213871-4406 | UT | Yes |
Addresses
Primary practice location
750 W 800 N
Orem, UT 84057-3660
Mailing address
46 N 960 E
American Fork, UT 84003-2936
Phone (801) 756-9919
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 107007300107 | Other | UT | IHC |
| 870525882AL2 | Other | UT | EDUCATORS MUTUAL |
| PRA07051 | Other | UT | MOLINA |
| 75949 | Other | UT | PEHP |
| 190382600 | Other | UT | US DEPT OF LABOR |
| QM0000076595 | Other | UT | ALTIUS |
| 011517 | Other | UT | HEALTHY U |
Other providers in Orem, UT
- Casey Allen
- Dawson Lee Allen
- Hayden Dayle Allen
- Jaelyn Gillett Allen
- Madison Allen
- Scot L Allen
- Victoria Anne Allen
- Alliance Behavioral Psychiatry, LLC
- Alliance Behavioral Psychology, LLC
- Alliance Clinical Services
All providers in Orem, UT · Certified Registered Nurse Anesthetist in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.