MR. JONATHAN SCOTT ALLEN


Address: 2 Auction Ave, Memphis, TN 38105-1502
Phone: 9015214812

MR. JONATHAN SCOTT ALLEN (NPI# 1063544211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063544211
Entity Type Individual
Full Name MR. JONATHAN SCOTT ALLEN
Credential HS
Practice Address 2 Auction Ave
Memphis
TN 38105-1502
Practice Telephone 9015214812
Practice Fax Number 9015443915
Mailing Telephone 9015214812
Mailing Fax Number 9015443915
Enumeration Date 2007-03-12
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1710I1002X Military Health Care Provider
Specialization: Independent Duty Corpsman
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1386142701 Jonathan Patrick Allen Behavioral Analyst 4600 Kietzke Ln Ste M246, Reno, NV 89502-5000 2018-01-31
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1093066201 Jonathan Paul Allen Physical Therapist 1360 Blair Dr, Suite D, Odenton, MD 21113-1343 2012-09-27
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Office Location

Street Address 2 AUCTION AVE
City MEMPHIS
State TN
Zip Code 38105-1502

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104802875 Mark Richard Gyenes Emergency Medical Technician, Basic 2 Auction Ave, Memphis, TN 38105-1502 2005-12-15
1669458345 Shawn R. Getola Military Health Care Provider 2 Auction Ave, Memphis, TN 38105-1502 2005-12-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1447887435 Leeanne Chittom Mcdonald Dietitian, Registered Ulps Surgery, 2nd Floor, 50 N. Dunlap, Memphis, TN 38105 2020-03-27
1619508942 Victoria Mackay Physician Assistant 595 Danny Thomas Place, Memphis, TN 38105 2020-01-27
1720436710 Angela Marie Pratt Nurse Practitioner 262 Danny Thomas Blvd, Memphis, TN 38105 2016-05-31
1326434465 Amanda Green Pediatrics 262 N Danny Thomas Blvd # Ms 320, Memphis, TN 38105 2015-04-15
1467864173 Nicole Mary Alberts Psychologist 262 Danny Thomas Place, Mail Stop 740, Department of Psychology, St Jude Children's Research H, Memphis, TN 38105 2014-05-29
1689004160 Virginia Carney Dietitian, Registered 262 Danny Thomas Place - Mail Stop 732, Memphis, TN 38105 2013-11-19
1447506365 Nickhill Hitesh Bhakta Pediatrics 262 Danny Thomas Way, Ms 721, Memphis, TN 38105 2012-07-29
1457622235 Healthy Indigent Populations Inc. Exclusive Provider Organization 1066 Delmar, Memphis, TN 38105 2012-01-25
1285953265 Nicholas Steve Phillips Student in an Organized Health Care Education/Training Program 262 Danny Thomas Place, Mail Stop 735, Memphis, TN 38105 2010-05-31
1205151776 Kyle Joseph Morgan Anesthesiology 262 Danny Thomas Pl Dept Of, Memphis, TN 38105 2010-03-28
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Taxonomy Information

Taxonomy Code 1710I1002X
Grouping Other Service Providers
Classification Military Health Care Provider
Specialization Independent Duty Corpsman

Taxonomy Definition

A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669458345 Shawn R. Getola Military Health Care Provider 2 Auction Ave, Memphis, TN 38105-1502 2005-12-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1710292172 Larry L Lacefield Military Health Care Provider 5528 Maple Landing Dr, Arlington, TN 38002-7031 2010-08-10
1295059491 William Lee Mark Stone Military Health Care Provider 5722 Integrity Dr Bldg S-771, Millington, TN 38054-5028 2010-03-17
1487746236 Robert Dennis Preston Jr. Military Health Care Provider Brach Medical Clinic, Naval Support Activity Mid-south, Millington, TN 38054 2006-09-29
1336195080 Michael James Young Military Health Care Provider 5720 Integrity Dr, Millington, TN 38054-5028 2006-05-25
1316915333 Charles Barry Collier Military Health Care Provider Branch Medical Clinic, Nsa Mid South, 5722 Integrity Dr Bldg, Millington, TN 38054 2006-03-08
1730367020 Alexander Joseph Mabile IIi Military Health Care Provider 5722 Integrity Dr, Navmac, Millington, TN 38054-5028 2008-02-08
1821284894 Tonya Victoria Jones Military Health Care Provider 5720 Integrity Dr, Millington, TN 38055-4070 2007-09-24
1902000805 Perry Michael Miller Military Health Care Provider 569 Skyline Dr, Jackson, TN 38301-3911 2007-06-13
1316049281 Benjamin A B Heverly Military Health Care Provider 5722 Integrity Dr, Millington, TN 38054-5028 2006-09-02
1356311518 Michael F Ballard Military Health Care Provider 5722 Integrity Dr, Bldg S771, Millington, TN 38054-5028 2006-01-23
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Competitor

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City MEMPHIS
Zip Code 38105

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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