DR. RICHARD MICHAEL ALLEN (NPI# 1093717787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093717787 |
| Entity Type | Individual |
| Full Name | DR. RICHARD MICHAEL ALLEN |
| Credential | DPM |
| Practice Address |
1630 23rd Ave Suite 1001 Lewiston ID 83501-6350 |
| Practice Telephone | 2087433688 |
| Practice Fax Number | 2087435162 |
| Mailing Telephone | 2087433688 |
| Mailing Fax Number | 2087435162 |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2007-11-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
P-143 | ID | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 0027887 | 05 | |
| ID | REGENCE BLUESHIELD OF ID | 000010015686 | 01 |
| ID | BLUE CROSS OF IDAHO | P9186 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346804986 | Richard Allen | Driver | 38025 N Academy Dr, Lake Villa, IL 60046-9731 | 2019-04-29 |
| 1720454382 | Richard Marc Allen | Nurse Practitioner | 1 Childrens Way # K2213h-1, Little Rock, AR 72202 | 2015-08-18 |
| 1063557957 | Richard Earl Allen | Dentist | 406 Longmire Road, Conroe, TX 77304-2048 | 2007-02-20 |
| 1205983715 | Richard L Allen | Chiropractor | 227 Taylors Mills Rd, Manalapan, NJ 07726-3229 | 2007-01-05 |
| 1982791281 | Richard Lee Allen | Optometrist | 204 S Lafayette St, Jerseyville, IL 62052-1657 | 2006-10-06 |
| 1033188768 | Richard Paul Allen | Physician Assistant | Dem, Madigan Army Medical Center, Ft. Lewis, WA 98433 | 2006-03-15 |
| 1427035047 | Richard Charles Allen | Chiropractor | 11576 S State St Ste 1101, Draper, UT 84020-7105 | 2005-12-23 |
| 1831174226 | Richard E Allen | Family Medicine | 1250 East 3900 South, Suite 260, Salt Lake City, UT 84124-1371 | 2005-12-08 |
| 1497356067 | Richard Allen | Behavior Technician | 6197 Lehman Dr, Suite 102, Colorado Springs, CO 80918-3437 | 2020-11-02 |
| 1104311950 | Richard Allen | Case Manager/Care Coordinator | 4269 Pearl Rd, Cleveland, OH 44109-4234 | 2018-06-25 |
| Street Address |
1630 23RD AVE SUITE 1001 |
| City | LEWISTON |
| State | ID |
| Zip Code | 83501-6350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700221363 | Marion Elizabeth Smith | Nurse Practitioner | 1630 23rd Ave, Lewiston, ID 83501-6350 | 2013-05-08 |
| 1154662948 | Cory Allen Brown | Podiatrist | 1630 23rd Ave, Suite 1001, Lewiston, ID 83501-6350 | 2013-03-05 |
| 1124250527 | Cynthia Hudson | Dietitian, Registered | 1630 23rd Ave, Suite 401, Lewiston, ID 83501-6350 | 2009-08-18 |
| 1700073798 | Amber Christine Mckinney | Physician Assistant | 1630 23rd Ave, Suite 701, Lewiston, ID 83501-6350 | 2007-10-03 |
| 1881881118 | Steven E Ozeran, M.d., P.a. | Surgery | 1630 23rd Ave, Suite 901a, Lewiston, ID 83501-6350 | 2007-10-01 |
| 1194926790 | Snake River Rehabilitation Counseling Services,llc | Day Training, Developmentally Disabled Services | 1630 23rd Ave, # 301b, Lewiston, ID 83501-6350 | 2007-05-30 |
| 1750396636 | Bridgeway Counseling Center, Lc | Social Worker | 1630 23rd Ave, Suite 301b, Lewiston, ID 83501-6350 | 2006-07-30 |
| 1588610398 | Walla Walla Vamc | Clinic/Center | 1630 23rd Ave, Stes. 302 & 401, Bldg. 2, Lewiston, ID 83501-6350 | 2006-05-25 |
| 1316911571 | Steven Edwin Ozeran | Surgery | 1630 23rd Ave, Ste 901a, Lewiston, ID 83501 | 2006-02-15 |
| 1578552139 | Michael K Parent | Specialist | 1630 23rd Ave, Suite 701, Lewiston, ID 83501-6350 | 2005-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679193759 | Jacqueline M Aldrich | Behavior Technician | 3407 12th Street C, 3407 12th Street C, Lewiston, ID 83501 | 2020-04-20 |
| 1295228054 | Provident Foundation - Wedgewood Terrace LLC | Alzheimer Center (Dementia Center) | 2114 Vineyard Avenue, Lewiston, ID 83501 | 2018-06-07 |
| 1164945325 | Xiaofei Liu | Massage Therapist | 234 Thain Rd, Lewiston, ID 83501 | 2017-07-19 |
| 1467909879 | Sharon Thulon | Registered Nurse | 1118 F Street, Lewiston, ID 83501 | 2016-09-01 |
| 1821459496 | Gem State Endoscopy | Clinic/Center | 3709 14th Street, Lewiston, ID 83501 | 2016-03-10 |
| 1508264995 | Gary L. Grogan | Psychologist | 633 Main Street, B#1, Lewiston, ID 83501 | 2014-12-17 |
| 1003189366 | John Joseph Johnson | Dentist | 3510 12th Street, Suite #600, Lewiston, ID 83501 | 2012-02-17 |
| 1306134077 | Rowena Kathryn Jackson | Counselor | 531 Bryden Avenue, Lewiston, ID 83501 | 2011-07-15 |
| 1912290388 | Staci Leanne Truby | Massage Therapist | 717 'd' Street, Lewiston, ID 83501 | 2011-05-18 |
| 1093040685 | Sharie Ann Uhlorn | Registered Nurse | 1837 Alder Court, Lewiston, ID 83501 | 2009-10-15 |
| Find all providers in zip 83501 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154662948 | Cory Allen Brown | Podiatrist | 1630 23rd Ave, Suite 1001, Lewiston, ID 83501-6350 | 2013-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518225929 | Clark A Johnson | Podiatrist | 3120 W Belltower Dr Ste 100, Meridian, ID 83646-7744 | 2012-04-24 |
| 1396023446 | Kurt Earl Kinghorn | Podiatrist | 1828 S Millenium Way Ste 200, Meridian, ID 83642-5036 | 2011-07-22 |
| 1649506536 | James Rex Cutler | Podiatrist | 76 E 1st S, Rexburg, ID 83440-1936 | 2009-10-27 |
| 1174756316 | Daniel Matthew Wettstein | Podiatrist | 476 Cheney Drive West, Twin Falls, ID 83301 | 2009-09-03 |
| 1578576732 | Bruce G Tolman | Podiatrist | 1540 Elk Creek Dr, Idaho Falls, ID 83404-8322 | 2006-08-15 |
| 1679514186 | Ryan Averett Dpm PC | Podiatrist | 2221 W Ironwood Center Dr, Coeur D Alene, ID 83814-2697 | 2006-06-08 |
| 1245216647 | Kert W Howard | Podiatrist | 1555 E Clark St, Pocatello, ID 83201-4133 | 2005-12-16 |
| 1447257076 | Bradley J Capawana | Podiatrist | 619 S Washington St, Ste 103, Moscow, ID 83843-3090 | 2005-06-28 |
| 1326042045 | Michael J Drager | Podiatrist | 850 W Ironwood Dr, Ste 301, Coeur D Alene, ID 83814-4903 | 2005-06-09 |
| 1083261697 | Treasure Valley Foot and Ankle | Podiatrist | 3120 W Belltower Dr Ste 100, Meridian, ID 83646-7744 | 2019-08-20 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. RICHARD MICHAEL ALLEN.
| 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.