DR. MARK ERICH ALLEN (NPI# 1790768182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790768182 |
| Entity Type | Individual |
| Full Name | DR. MARK ERICH ALLEN |
| Credential | D.C. |
| Practice Address |
894 Broadway South Portland ME 04106-4350 |
| Practice Telephone | 2076992226 |
| Practice Fax Number | 2076992229 |
| Mailing Telephone | 2076992226 |
| Mailing Fax Number | 2076992229 |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2012-12-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CR1365 | ME | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 177050000 | 05 | |
| ME | AETNA | 4639291 | 01 |
| ME | MED NET SYSTEMS | 522405696 | 01 |
| ME | UNITED HEALTHCARE | 640621 | 01 |
| ME | CIGNA | M204600 | 01 |
| ME | ANTHEM | 022415 | 01 |
| ME | FIRST HEALTH CARE SYSTEMS | 2193260 | 01 |
| ME | HARVARD PILGRIM | 352582 | 01 |
| ME | PRIVATE HEALTHCARE SYSTEM | 522405696 | 01 |
| ME | PREFERREDONE ADMIN SERVIC | 522405696 | 01 |
| ME | HEALTH PLANS INC | 522405696 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720539406 | Mark Allen | Nursing Facility/Intermediate Care Facility | 219 Deerfoot Trl, Kalispell, MT 59901-8725 | 2016-10-18 |
| 1942509559 | Mark Allen | Counselor | 1384 W Ellery Way, Fresno, CA 93711-2014 | 2011-03-22 |
| 1124339676 | Mark Allen | Orthopaedic Surgery | 1505 Wigwam Pkwy Ste 330, Henderson, NV 89074 | 2010-06-30 |
| 1134283765 | Mark S Allen | Dentist | 1716 Ashley Cir, Bowling Green, KY 42104-3366 | 2006-12-20 |
| 1952471617 | Mark Allen | Chiropractor | 434 S Green St, Henderson, KY 42420-3517 | 2006-11-09 |
| 1306934708 | Mark A. Allen | Chiropractor | 2525 California St, Suite A&b, Columbus, IN 47201-3678 | 2006-10-11 |
| 1467551549 | Mark H Allen | Optometrist | 4810 Lakeland Dr, Flowood, MS 39232-8694 | 2006-09-22 |
| 1295742013 | Mark Jay Allen | Dentist | 519 S Santa Fe Ave, Edmond, OK 73003-6281 | 2006-08-02 |
| 1700842549 | Mark Allen | Dentist | 151 North Main St, Hardwick, VT 05843 | 2006-04-21 |
| 1932187507 | Mark Daniel Allen | Nurse Practitioner | 1400 Willow Lane, Manchester, TN 37355 | 2006-01-04 |
| Street Address |
894 BROADWAY |
| City | SOUTH PORTLAND |
| State | ME |
| Zip Code | 04106-4350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841417730 | Advantage Chiropractic P A | Chiropractor | 894 Broadway, South Portland, ME 04106-4350 | 2007-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912513748 | Rayna Louise Sage | Behavior Technician | 50 Donald Beaver Drrive, Ste B, Portland, ME 04106 | 2020-09-17 |
| 1972127330 | Scott M Davis Md LLC | Internal Medicine | 89 Cannon Road, South Portland, ME 04106 | 2020-06-02 |
| 1568013936 | Clara Cassidy | Behavior Technician | 50 Donald Bean Dr, Ste B, South Portland, ME 04106 | 2019-09-26 |
| 1336614346 | Kari Whitney | Nurse Practitioner | Vna Home Health Hospice, 50 Foden Road, Suite 1, South Portland, ME 04106 | 2018-10-05 |
| 1588152193 | Kristen F. Pierce | Counselor | 100 Waterman Drive, Suite 201, South Portland, ME 04106 | 2018-04-30 |
| 1649779224 | Jennifer Rene Johnson | Social Worker | 135 Westbrook St, South Portland, ME 04106 | 2018-02-08 |
| 1154847721 | Integral Nutrition, LLC | Dietitian, Registered | 59 Baltimore Avenue, South Portland, ME 04106 | 2017-08-16 |
| 1730619610 | John Preston Powell | Psychiatry & Neurology | 68 B Street Apt 4, South Portland, ME 04106 | 2017-06-14 |
| 1649706268 | Gisselle Mani | Student in an Organized Health Care Education/Training Program | 30 Lydia Ln Apt 2115, South Portland, ME 04106 | 2017-05-02 |
| 1245786987 | Jonathan Frank Olmes | Optometrist | 335 Maine Mall Rd., South Portland, ME 04106 | 2016-09-01 |
| Find all providers in zip 04106 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205063724 | Back On Track | Chiropractor | 209 Western Ave Unit G, South Portland, ME 04106-2452 | 2009-06-11 |
| 1790840478 | Malcolm Roderick Williams | Chiropractor | 558 Main St, South Portland, ME 04106-5407 | 2006-12-24 |
| 1104908177 | Alan Christian Williams | Chiropractor | 554 Main St, South Portland, ME 04106-5407 | 2006-10-19 |
| 1962422378 | Fawn Rae Dunphy | Chiropractor | 85 E St, South Portland, ME 04106-2870 | 2006-07-20 |
| 1932148079 | Robert Peter Lynch Jr. | Chiropractor | 1200 Broadway, South Portland, ME 04106-5652 | 2006-06-05 |
| 1790747046 | Gary W Smart | Chiropractor | 597 Main St, South Portland, ME 04106-5412 | 2006-04-03 |
| 1184617110 | Michael D Littlefield | Chiropractor | 118 Maine Mall Rd, South Portland, ME 04106-2309 | 2005-08-24 |
| 1164037602 | Kassidy D Kasperski | Chiropractor | 210 Western Ave, South Portland, ME 04106-2424 | 2020-09-11 |
| 1265991574 | Swan Chiropractic, LLC | Chiropractor | 63 Ocean St, South Portland, ME 04106-2828 | 2019-03-16 |
| 1649772179 | Stephanie Michelle Lee | Chiropractor | 118 Maine Mall Rd, South Portland, ME 04106-2309 | 2018-02-28 |
| Find all providers in SOUTH PORTLAND | ||||
| City | SOUTH PORTLAND |
| Zip Code | 04106 |
Please comment or provide details below to improve the information on DR. MARK ERICH 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.