Active NPI
Valinda Allen, MD
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Saint Louis, MO
National Provider Identifier
1992898795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- License
- 336078903
- Practice address
- 3933 S Broadway
Saint Louis, MO 63118-4601 - Phone
- (314) 865-7000
- Fax
- (314) 865-7073
- NPI assigned
- Oct 2, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 117596 | MO | |
| Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | 2083P0011X | 336078903 | IL | Primary |
Addresses
Primary practice location
3933 S Broadway
Saint Louis, MO 63118-4601
Mailing address
4224 Corrales Dr
Florissant, MO 63034-3489
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992898795 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 336078903 | IL | MD | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healogics Specialty Physicians of Illinois, LLC | Emergency Medicine | Current | Accepting new patients |
| Virginia Emergency Physicians LLP | Emergency Medicine | Past | Accepting new patients |
| North County Emergency Physicians, LLP | Emergency Medicine | Past | Accepting new patients |
| Virginia Emergency Physicians LLP | Emergency Medicine | Past | Accepting new patients |
| Columbia Healthcare of Central Virginia Inc | Past | Accepting new patients | |
| Emcare Physician Providers, Inc. | Emergency Medicine | Past | Accepting new patients |
Locations
5220 Belfort Rd
Ste 130
Jacksonville, FL 32256
Phone (904) 446-3686
1 Memorial Dr
Alton, IL 62002
Phone (618) 463-7240
77 N Airlite St
Elgin, IL 60123
Phone (847) 622-3407
Interoperability endpoints
- vallen135766@direct.carenet.org
Organizations & group practices 6
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.
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Alton, IL
- NPI 1215355110
Emergency Medicine
-
- Emergency Medicine Physician
- Saint Louis, MO
- NPI 1386684736
-
- Emergency Medicine Physician
- Florissant, MO
- NPI 1356366934
-
- Plastic Surgery Physician
- Richmond, VA
- NPI 1417946450
-
- Emergency Medicine Physician
- Richmond, VA
- NPI 1134475999
-
- Emergency Medicine Physician
- Richmond, VA
- NPI 1245255264
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473638400000",
"number": "1992898795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4224 CORRALES DR",
"city": "FLORISSANT",
"state": "MO",
"postal_code": "630343489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3933 S BROADWAY",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631184601",
"telephone_number": "314-865-7000",
"fax_number": "314-865-7073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "VALINDA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2016-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MO",
"license": "117596",
"primary": false
},
{
"code": "2083P0011X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
"state": "IL",
"license": "336078903",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1992898795",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.