JERRY H ALLEN (NPI# 1154327286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154327286 |
| Entity Type | Individual |
| Full Name | JERRY H ALLEN |
| Credential | MD |
| Practice Address |
851 E 5th St Ste 300 Washington MO 63090-3130 |
| Practice Telephone | 6363908555 |
| Practice Fax Number | 6363909444 |
| Mailing Telephone | 6363908555 |
| Mailing Fax Number | 6363909444 |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2011-10-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | MD34565 | MO | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104277326 | Jerry Arthur Allen IIi | Dentist | 3100 Nc 55 Hwy Ste 201, Cary, NC 27519-8427 | 2016-06-29 |
| 1285884429 | Jerry A Allen | Nurse Practitioner | 800 Oak Ridge Tpke, Suite A300, Oak Ridge, TN 37830-6957 | 2008-09-24 |
| Street Address |
851 E 5TH ST STE 300 |
| City | WASHINGTON |
| State | MO |
| Zip Code | 63090-3130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790781268 | Michelle L Beumer | Pediatrics | 851 E 5th St, Ste 312, Washington, MO 63090-3130 | 2005-06-21 |
| 1669018602 | Sheila Ann Buesking | Nurse Practitioner | 851 E 5th St, Washington, MO 63090-3135 | 2019-11-25 |
| 1437794898 | Amanda Leanna Martin | Dietitian, Registered | 851 E 5th St, Washington, MO 63090-3135 | 2019-11-08 |
| 1609303460 | Minami Ohta | Counselor | 851 E 5th St, Suite 200, Washington, MO 63090-3135 | 2017-05-11 |
| 1427413467 | Alison Hoglan | Social Worker | 851 E 5th St, Suite 200, Washington, MO 63090-3135 | 2015-12-17 |
| 1760857833 | Jillian Poretti | Dietitian, Registered | 851 E 5th St, Suite 226, Washington, MO 63090-3135 | 2015-12-01 |
| 1942636980 | Mercy Clinic Pain Management, LLC | Anesthesiology | 851 E 5th St, Suite 144, Washington, MO 63090-3135 | 2013-09-23 |
| 1467792523 | Marie Bernice Sander | Nurse Practitioner | 851 E 5th St, Suite 208, Washington, MO 63090-3135 | 2013-02-26 |
| 1215299482 | Deborah Bernice Beste | Nurse Practitioner | 851 E 5th St, Suite 200, Washington, MO 63090-3135 | 2012-06-13 |
| 1801154489 | Feet for Life Centers Inc PC | Podiatrist | 851 E 5th St, #228, Washington, MO 63090-3135 | 2012-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831798792 | Alicia Caroline Baker | Nurse Practitioner | 1070 W 7th St, Washington, MO 63090 | 2020-10-21 |
| 1962975839 | Jennifer Biermann | Pharmacist | 801 E 5th Street, Washington, MO 63090 | 2019-01-03 |
| 1487199733 | Kristen Elaine Cleavelin | Registered Nurse | Mercy Convenient Care, 901 Patients First Drive, Washington, MO 63090 | 2016-12-22 |
| 1699146712 | Washington Community Counseling Center | Community/Behavioral Health | 421 W. 5th Street, Suite 110, Washington, MO 63090 | 2015-10-15 |
| 1598002024 | Americare At Vicotrian Manor of Washington, LLC | Assisted Living Facility | 2701 Rabbit Trail Dr, Washington, MO 63090 | 2013-01-03 |
| 1578824116 | Rhonda Ann Pepmiller | Nurse Practitioner | 851 E 5th St Ste 309, Washington, MO 63090 | 2012-05-30 |
| 1932486032 | Julie Joanne Lynch | Pharmacist | 890 Country Corners, Washington, MO 63090 | 2011-11-03 |
| 1043590839 | Laurie Elizabeth Bryson | Counselor | 102 Elm Street, Suite 204, Washington, MO 63090 | 2011-08-24 |
| 1164737490 | Mohan Mallikarjuna Edupuganti | Internal Medicine | 901 Patients First Dr Ste 2500, Washington, MO 63090 | 2010-08-11 |
| 1154640225 | Nicholas W Frederickson | Internal Medicine | 901 Patients First Drive Suite 3300, Washington, MO 63090 | 2010-05-27 |
| Find all providers in zip 63090 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598362113 | Mebe District of Columbia | Pediatrics | 6218 Georgia Ave Nw Ste 1, Washington, DC 20011-5125 | 2020-10-06 |
| 1821606443 | Theresa R Watkins-bryant | Pediatrics | Howard Univ Hospital 2041 Georgia Ave Nw, Washington, DC 20060-0001 | 2020-07-20 |
| 1487273751 | Lynn Rose Goldman | Pediatrics | 950 New Hampshire Ave Nw Fl 7, Washington, DC 20037-2301 | 2020-04-15 |
| 1144787276 | Spring Valley Pediatrics, Pllc | Pediatrics | 4900 Massachusetts Ave Nw Lowr Level, Washington, DC 20016-4358 | 2019-02-25 |
| 1831670900 | Sweeney & Daniel Pediatrics Pllc | Pediatrics | 3301 New Mexico Ave Nw Ste 238, Washington, DC 20016-3610 | 2018-08-27 |
| 1710331673 | Margarita Ramos | Pediatrics | 111 Michigan Ave Nw Ste 700a, Washington, DC 20010 | 2016-04-18 |
| 1679914410 | Roger Cole Herdman | Pediatrics | 4710 Windom Pl Nw, Washington, DC 20016-2406 | 2013-07-09 |
| 1215371000 | Zeina Dalu Nieto | Pediatrics | 100 Wellness Way Bldg 2, Washington, PA 15301-9706 | 2013-04-23 |
| 1790028850 | Omar Jaber | Pediatrics | 650 Pennsylvania Ave Se Ste C100, Washington, DC 20003-4368 | 2013-03-27 |
| 1356680201 | Jacqueline Duvall Williams-mcmorris | Pediatrics | 1227 25th St., N.w., Washington, DC 20037 | 2013-02-12 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 63090 |
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| 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.