MR. JOHN MELVIN ALLEN (NPI# 1568505543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568505543 |
| Entity Type | Individual |
| Full Name | MR. JOHN MELVIN ALLEN |
| Credential | M.D. |
| Practice Address |
4802e Johnson Ave Jonesboro AR 72401-8413 |
| Mailing Address |
Po Box 1960 Jonesboro AR 72403-1960 |
| Practice Telephone | 8709368000 |
| Practice Fax Number | 8709343665 |
| Mailing Telephone | 8709368000 |
| Mailing Fax Number | 8709343665 |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2015-12-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | E-0514 | AR | Allopathic & Osteopathic Physicians |
| N | 208800000X | Urology | E0514 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | MEDICARE ID-TYPE UNSPECIFIED | 5J754C080 | 01 |
| AR | 127591001 | 05 |
| 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 |
4802E JOHNSON AVE |
| City | JONESBORO |
| State | AR |
| Zip Code | 72401-8413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285605816 | David L. Phillips | Surgery | 4802e Johnson Ave, Jonesboro, AR 72401-8413 | 2006-01-31 |
| 1578606109 | Michael Laurence Suminski | Urology | 4802e Johnson Ave, Jonesboro, AR 72401-8413 | 2007-02-14 |
| 1104911759 | Rebecca Barrett-tuck | Neurological Surgery | 4802e Johnson Ave, Jonesboro, AR 72401-8413 | 2006-10-03 |
| 1780641563 | Robert Abraham | Neurological Surgery | 4802e Johnson Ave, Jonesboro, AR 72401-8413 | 2006-04-27 |
| 1952368565 | Jason Brandt | Orthopaedic Surgery | 4802e Johnson Ave, Jonesboro, AR 72401-8413 | 2006-04-27 |
| 1841256609 | Bing Behrens | Psychiatry & Neurology | 4802e Johnson Ave, Jonesboro, AR 72401-8413 | 2006-04-21 |
| 1871557041 | Kenneth B Jones | Surgery | 4802e Johnson Ave, Jonesboro, AR 72401-8413 | 2006-04-14 |
| 1902860620 | Russell D Degges | Surgery | 4802e Johnson Ave, Jonesboro, AR 72401-8413 | 2006-04-12 |
| 1598733602 | Ray H. Hall Jr. | Internal Medicine | 4802e Johnson Ave, Jonesboro, AR 72401-8413 | 2006-03-14 |
| 1316915424 | Robert D Taylor | Internal Medicine | 4802e Johnson Ave, Jonesboro, AR 72401-8413 | 2006-03-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407453368 | Mariah Kay Jackson | Physical Therapy Assistant | Creative Kids Therapy, Jonesboro, AR 72401 | 2020-10-05 |
| 1821606005 | Kafayat Folake Iyanda | Specialist/Technologist | 2105 East Aggie Rd, Jonesboro, AR 72401 | 2020-07-14 |
| 1053936310 | Josh Roberts | Physical Therapist | 1010 South Main St, Jonesboro, AR 72401 | 2020-06-12 |
| 1003449687 | Amy Mary Elizabeth Daughhetee | Nurse Practitioner | 225 East Washington Ave, Jonesboro, AR 72401 | 2020-02-21 |
| 1871126698 | Sarah Lowtharp | Clinical Nurse Specialist | 225 East Washington Ave., Jonesboro, AR 72401 | 2020-02-20 |
| 1891335519 | Mallori Miller | Case Manager/Care Coordinator | 837 Willett Rd, Jonesboro, AR 72401 | 2020-01-10 |
| 1265073704 | Michael Bruce Collie | Registered Nurse | 837 Williett Road, Jonesboro, AR 72401 | 2019-10-07 |
| 1285283432 | Jonesboro Ambulatory Surgery Center, LLC | Clinic/Center | 1710 Mayfield Dr, Jonesboro, AR 72401 | 2019-09-10 |
| 1841843943 | Destinee Katrina Cole | Specialist/Technologist | 2015 Aggie Rd, Jonesboro, AR 72401 | 2019-07-18 |
| 1699250472 | Jessica Marie Mcnatt | Occupational Therapist | 907 County Road 753, Jonesboro, AR 72401 | 2018-09-27 |
| Find all providers in zip 72401 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386986222 | Chul Nam Lee | Urology | 2016 Pine Forest Ct, Jonesboro, GA 30236-5416 | 2013-03-18 |
| 1487972527 | Rudolph Noah Bowens Jr. | Urology | 303 E Matthews Ave Ste 100, Jonesboro, AR 72401-3113 | 2010-05-13 |
| 1437348745 | Enoch Walden Williams | Urology | 3817 S Culberhouse Rd, Jonesboro, AR 72404-9067 | 2007-10-23 |
| 1871568303 | David W Lazan | Urology | 2400 Mount Zion Pkwy, Jonesboro, GA 30236-2500 | 2006-02-20 |
| 1053383174 | Joseph C Kueter | Urology | 303 E Matthews Ave, Suite 200, Jonesboro, AR 72401-3150 | 2006-02-02 |
| 1790116150 | St. Bernards Urology Associates, Inc. | Urology | 303 E Matthews Ave, Jonesboro, AR 72401-3150 | 2013-12-10 |
| 1558673889 | Emily Jacobs | Urology | 303 E Matthews Ave, Suite 100, Jonesboro, AR 72401-3150 | 2010-07-01 |
| 1912032657 | Arkansas Urology Clinic, Ltd | Urology | 1150 E Matthews Ave, Suite 203, Jonesboro, AR 72401-4314 | 2007-02-22 |
| 1578606109 | Michael Laurence Suminski | Urology | 4802e Johnson Ave, Jonesboro, AR 72401-8413 | 2007-02-14 |
| 1396717534 | Medical Plaza Urology Associates | Urology | 303 E Matthews Ave, Suite 200, Jonesboro, AR 72401-3150 | 2006-02-02 |
| Find all providers in JONESBORO | ||||
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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.