JEFFERSON M ALLEN (NPI# 1396289799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396289799 |
| Entity Type | Individual |
| Full Name | JEFFERSON M ALLEN |
| Credential | PA-C |
| Practice Address |
356 W 840 S Orem UT 84058-6778 |
| Practice Telephone | 8014202373 |
| Practice Fax Number | 8012253236 |
| Mailing Telephone | 8014202373 |
| Mailing Fax Number | 8012253236 |
| Enumeration Date | 2016-12-05 |
| Last Update Date | 2016-12-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
10174452-1206 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
356 W 840 S |
| City | OREM |
| State | UT |
| Zip Code | 84058-6778 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821696782 | Kaley Brooksby | Behavior Technician | 1140 W 1130, Orem, UT 84058 | 2020-10-13 |
| 1679042303 | Carolyn Mott Harvey | Counselor | 276 E 905 S, Orem, UT 84058 | 2018-11-26 |
| 1902371826 | Jennifer Morgan Ellefsen | Nurse Practitioner | 800 W University Pkwy # Ms 200, Orem, UT 84058 | 2018-10-07 |
| 1508340944 | Eye Pros of Orem | Optometrist | 366 E. University Parkway, Orem, UT 84058 | 2018-09-21 |
| 1003398025 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 366 E University Pkwy, Orem, UT 84058 | 2018-09-06 |
| 1407338288 | Jecel Kevin Mendoza | Case Manager/Care Coordinator | 1109 W 1390 S, Orem, UT 84058 | 2018-08-29 |
| 1407368509 | Kaitlyn Winget | Specialist/Technologist | 800 W. University Pkwy, Dept of Athletics- Ms 104, Orem, UT 84058 | 2017-10-30 |
| 1871010454 | Linda S George | Behavior Technician | 1875 S Geneva Road, Orem, UT 84058 | 2017-08-24 |
| 1811435951 | Rhea V. Perry | Massage Therapist | 35 S 400 W, Orem, UT 84058 | 2017-02-09 |
| 1457735425 | John Thomas Garlock | Behavioral Analyst | 1140 W 1130 S Bld B, Orem, UT 84058 | 2015-07-19 |
| Find all providers in zip 84058 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841440542 | Desiree Funk | Physician Assistant | 155 N 400 W # B6, Orem, UT 84057-1909 | 2008-09-30 |
| 1780801753 | Gary E. Cripe | Physician Assistant | 155 North 400 West, Orem, UT 84057 | 2007-04-19 |
| 1821125907 | Todd David Seamons | Physician Assistant | 173 N 400 W Ste C-11, Orem, UT 84057-1909 | 2007-02-27 |
| 1205874179 | Jason Eatough | Physician Assistant | 331 N 400 W, Orem, UT 84057-1913 | 2006-06-03 |
| 1740287861 | Christine Heninger Broken Leg | Physician Assistant | 716 W 800 N # 300, Orem, UT 84057-6300 | 2005-07-05 |
| 1720484934 | Mark Cattermole | Physician Assistant | 1975 N State St, Orem, UT 84057-2028 | 2014-11-16 |
| 1730529421 | Mitchell T Shepherd | Physician Assistant | 1350 E 750 N, Suite 1, Orem, UT 84097-4345 | 2013-06-27 |
| 1861760167 | Shawn Gibbs | Physician Assistant | 155 N 400 W, B6, Orem, UT 84057-1909 | 2011-12-01 |
| 1821398371 | Allison Savanna Felshaw | Physician Assistant | 700 W 800 N, Suite 400, Orem, UT 84057-6301 | 2010-11-01 |
| 1710037213 | Jean Stanford | Physician Assistant | 412 W 800 N, Orem, UT 84057-3728 | 2007-01-10 |
| Find all providers in OREM | ||||
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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.