THEODORE LEE ALLEN (NPI# 1316906399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316906399 |
| Entity Type | Individual |
| Full Name | THEODORE LEE ALLEN |
| Credential | MD |
| Practice Address |
Dept of Deployment Health Womc Physical Exam Fort Bragg NC 28310 |
| Mailing Address |
2817 Reilly Road Mcxc-cod Credentials Womack Army Medical Center Fort Bragg NC 28310 |
| Practice Telephone | 9109076390 |
| Practice Fax Number | 9109078451 |
| Mailing Telephone | 9109078922 |
| Mailing Fax Number | 9109076069 |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2017-03-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 12544 | AL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134692379 | Theodore Allen | Durable Medical Equipment & Medical Supplies | 1/4 M. East of B.i.a.-13 & B.i.a. N-133, Lukachukai, AZ 86507-1200 | 2019-01-10 |
| 1376035220 | Theodore R Allen Jr. | Case Manager/Care Coordinator | 2803 Akron Rd, Wooster, OH 44691-7904 | 2018-06-05 |
| 1659379147 | Theodore Elias Allen | Internal Medicine | 2015 Grand Concourse, Bronx, NY 10453-4303 | 2005-07-08 |
| Street Address |
DEPT OF DEPLOYMENT HEALTH WOMC PHYSICAL EXAM |
| City | FORT BRAGG |
| State | NC |
| Zip Code | 28310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013550763 | Brent Francis Bachman | Physician Assistant | 2817 Reilly Street, Fort Bragg, NC 28310 | 2019-10-25 |
| 1417503459 | Cooper Pasque | Dentist | 1838 Normandy Dr., Fort Bragg, Apo, AA 28310 | 2019-08-15 |
| 1851959951 | Daniel Jordan Whitaker | Student in an Organized Health Care Education/Training Program | Womack Army Medical Center, 2817 Reilly Road, Mcxc-cod Credentials, Fort Bragg, NC 28310 | 2019-06-03 |
| 1679054217 | Christopher Cetnar | Dentist | Smokebomb Hill, Bldg 3718 Gruber Road, Fort Bragg, NC 28310 | 2018-08-22 |
| 1316427107 | Alexandrea Lee Clark | Dentist | Laflamme Dental Clinic, Bldg C6238 Ardennes Road, Fort Bragg, NC 28310 | 2018-08-21 |
| 1457843831 | Kevin Patrick Hudson | Student in an Organized Health Care Education/Training Program | 2817 Reilly Road Mxcx - Cod Credentials, Womack Army Medical Center, Fort Bragg, NC 28310 | 2018-06-01 |
| 1639691462 | Margaret S Greene | Dentist | Usa Dental Health Activity Fort Bragg, Wamc Box #151 2817 Rielly Rd, Fort Bragg, NC 28310 | 2017-07-13 |
| 1912432246 | Chezdan Baker | Student in an Organized Health Care Education/Training Program | Us Army Dental Health Activity Bldg-6837 Normandy Drive, Fort Bragg, NC 28310 | 2017-04-24 |
| 1215483094 | Shantryce Monique Boatwright Crump | Dental Hygienist | 2617 Rielly Road, Fort Bragg, NC 28310 | 2016-08-31 |
| 1629435714 | John Gagnier | Physician Assistant | Gruber Road, Building #c-1722, Fort Bragg, NC 28310 | 2016-01-21 |
| Find all providers in zip 28310 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356590855 | Bryan Manees Johnson | General Practice | Hhc 3 82 Gsab, Fort Bragg, NC 28310-0001 | 2008-09-09 |
| 1407349749 | Michael Joseph Yanoschik | General Practice | Womack Army Medical Center 2817 Reilly Rd, Fort Bragg, NC 28310-5001 | 2018-06-12 |
| 1386057255 | Camilo D Fernandez-salvador | General Practice | 2817 Reilly St, Fort Bragg, NC 28310-5001 | 2014-06-08 |
| 1790124915 | Nathaniel R Watts | General Practice | 2817 Reilly St, Fort Bragg, NC 28310 | 2013-06-20 |
| 1568756351 | Raffaella Derosa | General Practice | 2817 Reilly St, Fort Bragg, NC 28310-5001 | 2011-06-09 |
| 1184630097 | Matthew Scott Chambers | General Practice | Wamc Stop A 2817 Reilly Rd, Mcxc Cod Credentials, Fort Bragg, NC 28310-0001 | 2006-07-31 |
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| Find all providers with the same taxonomy | ||||
| City | FORT BRAGG |
| Zip Code | 28310 |
Please comment or provide details below to improve the information on THEODORE LEE 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.