JOHN C. ALLEN (NPI# 1417275652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417275652 |
| Entity Type | Individual |
| Full Name | JOHN C. ALLEN |
| Credential | M.D. |
| Practice Address |
504 Azalea Dr Ste A Oxford MS 38655-5397 |
| Mailing Address |
Po Box 415000, Msc 410393 Nashville TN 37241-5000 |
| Practice Telephone | 6622367738 |
| Practice Fax Number | 6622369642 |
| Mailing Telephone | 6622367738 |
| Mailing Fax Number | 6622369642 |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2018-03-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
51509 | TN | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 51509 | TN | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 0101254562 | VA | Allopathic & Osteopathic Physicians |
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
24648 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 05001549 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1300 Sunset Dr Ste Q, Grenada, MS 389014084 | 6622949101 | 6622949104 |
| 301 S 28th Ave, Hattiesburg, MS 394017233 | 6012611700 | 6012888290 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053959130 | John Tanner Allen | Physical Therapist | 1110 Clover Hill Rd, Valdosta, GA 31602-1208 | 2019-12-19 |
| 1417516618 | John R Allen | Community Health Worker | 428 N Cass Ave, Westmont, IL 60559-1502 | 2019-06-11 |
| 1518459064 | John Allen | Military Health Care Provider | Rr612 Everrett Creek Road, Camp Lejeune, NC 28542 | 2018-05-31 |
| 1326455064 | John Allen | Specialist/Technologist | 17 Brewster Ave, Stony Point, NY 10980-1605 | 2014-07-15 |
| 1154630192 | John T. Allen | Behavioral Analyst | 4895 E Russell Rd, #308, Las Vegas, NV 89120-4503 | 2010-09-24 |
| 1639495492 | John Leatherbury Allen | Internal Medicine | 3853 Byrnwyck Pl Ne, Brookhaven, GA 30319-1658 | 2010-04-19 |
| 1912142720 | John Michael Allen | Surgery | 300 Medical Dr Ste 707, Lagrange, GA 30240-4130 | 2008-12-08 |
| 1861665697 | John Damon Allen | Physical Medicine & Rehabilitation | 4000 Coliseum Dr Ste 340, Hampton, VA 23666-5904 | 2008-04-13 |
| 1861670937 | John Michael Allen | Counselor | 375 W Tamarack Ln, Prescott, AZ 86301-1250 | 2008-01-31 |
| 1083803456 | John P Allen | Psychologist | 2009 Carriage Ct, Vienna, VA 22181-2923 | 2007-10-22 |
| Street Address |
504 AZALEA DR STE A |
| City | OXFORD |
| State | MS |
| Zip Code | 38655-5397 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760415608 | Benton M Wheeler | Internal Medicine | 504 Azalea Dr Ste A, Oxford, MS 38655-5397 | 2006-07-07 |
| 1164057865 | Kimberly Dawn Swanner | Registered Nurse | 504 Azalea Dr Ste A, Oxford, MS 38655-5397 | 2020-03-03 |
| 1376198192 | Leigh Van Devender | Nurse Practitioner | 504 Azalea Dr Ste A, Oxford, MS 38655-5397 | 2019-08-08 |
| 1821209784 | Kirk Cooper Eddleman | Internal Medicine | 504 Azalea Dr Ste A, Oxford, MS 38655-5397 | 2007-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619585809 | Oxford Treatment Center, LLC | Substance Abuse Rehabilitation Facility | 616 Commerce Parkway, Oxford, MS 38655 | 2020-07-14 |
| 1760044465 | Lindsay Low Beauchamp | Speech-Language Pathologist | 169 Ms-6 #102, Oxford, MS 38655 | 2019-07-02 |
| 1861058075 | Tomiko D Mackey | Social Worker | 100 Carriage Cove, Oxford, MS 38655 | 2019-05-13 |
| 1174090039 | Derionne Brooks | Specialist/Technologist | 972 Hathorn Road, University, MS 38655 | 2018-10-30 |
| 1497236327 | Providence Companion Care | Nurse's Aide | 317 Heritage Dr Ste 3b, Oxford, MS 38655 | 2018-08-28 |
| 1255817292 | Marcela Caroline Weber | Counselor | 152 Mississippi 7 South, Oxford, MS 38655 | 2018-07-12 |
| 1649775123 | Oxford Outpatient Center, LLC | Clinic/Center | 611 Commerce Pkwy, Oxford, MS 38655 | 2018-03-27 |
| 1073039962 | Sharon Yvette Holloway | Social Worker | 152 Hwy and South, Oxford, Ms 38655, Oxford, MS 38655 | 2017-08-22 |
| 1447774682 | Courtney M Purvis | Physical Therapist | 300 Enterprise Dr Ste B, Oxford, MS 38655 | 2017-07-31 |
| 1649716580 | Taylor Lynn Smith | Counselor | 152 Ms-7, Oxford, MS 38655 | 2017-01-17 |
| Find all providers in zip 38655 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760415608 | Benton M Wheeler | Internal Medicine | 504 Azalea Dr Ste A, Oxford, MS 38655-5397 | 2006-07-07 |
| 1194723965 | Dennis P Morgan | Internal Medicine | 504 Azalea Dr, Suite A, Oxford, MS 38655-5397 | 2005-07-14 |
| 1013335314 | Mccullough-hyde Memorial Hospital, Inc. | Internal Medicine | 110 N Poplar St, Patient Accounts - Oncology, Oxford, OH 45056-1204 | 2014-04-03 |
| 1316951627 | Family Cancer Center, Pllc | Internal Medicine | 504 Azalea Dr, Suite A, Oxford, MS 38655-5397 | 2006-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710365630 | Grenada Hematology Oncology LLC | Internal Medicine | 1300 Sunset Dr Ste F, Grenada, MS 38901-4083 | 2015-05-12 |
| 1720241201 | Jennifer T Eubanks | Internal Medicine | 1704 23rd Ave Fl 2, Meridian, MS 39301-3103 | 2008-07-06 |
| 1780713966 | Jackson Oncology Associates, Pllc | Internal Medicine | 1860 Chadwick Dr Ste 301, Jackson, MS 39204-3467 | 2007-03-05 |
| 1346379500 | Jackson Oncology Associates,pllc | Internal Medicine | 2969 Curran Dr N Ste 200, Jackson, MS 39216-4121 | 2007-03-05 |
| 1023147204 | Jackson Oncology Associates, Pllc | Internal Medicine | 2200 Highway 61 N Ste 3300, Vicksburg, MS 39183-8246 | 2007-03-05 |
| 1760585178 | Rose Cancer Center PC | Internal Medicine | 807 Robb Street, Summit, MS 39666 | 2006-09-07 |
| 1215960786 | Wail Alnas | Internal Medicine | 345 Baptist Blvd, Columbus, MS 39705 | 2006-07-08 |
| 1801825781 | Sonia M Benn | Internal Medicine | 7668 Airways Blvd, Southaven, MS 38671-5304 | 2006-07-02 |
| 1639119589 | Justin T Baker | Internal Medicine | 1227 N State St Ste 101, Jackson, MS 39202-2002 | 2006-06-08 |
| 1528023900 | Agustin J Suarez | Internal Medicine | 1513 Mcneill Steephollow Rd, Carriere, MS 39426-9168 | 2006-04-19 |
| Find all providers with the same taxonomy | ||||
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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.