DR. CLINT TANNER ALLEN (NPI# 1861697021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861697021 |
| Entity Type | Individual |
| Full Name | DR. CLINT TANNER ALLEN |
| Credential | M.D. |
| Practice Address |
6420 Rockledge Dr Suite 4920 Bethesda MD 20817-7837 |
| Practice Telephone | 3018963331 |
| Mailing Telephone | 3018963331 |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2016-08-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | D76403 | MD | Allopathic & Osteopathic Physicians |
| N | 207Y00000X | Otolaryngology | MD60276311 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | L&I | 0294408 | 01 |
| WA | 1861697021 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295719649 | Clint Larry Allen | Nurse Anesthetist, Certified Registered | 600 Elizabeth St, Corpus Christi, TX 78404-2235 | 2005-11-30 |
| Street Address |
6420 ROCKLEDGE DR SUITE 4920 |
| City | BETHESDA |
| State | MD |
| Zip Code | 20817-7837 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306849716 | Stephen S. Pappas Jr. | Ophthalmology | 6420 Rockledge Dr, Ste 4900, Bethesda, MD 20817-7848 | 2005-05-31 |
| 1497364400 | Joyce Hamba | Obstetrics & Gynecology | 6420 Rockledge Dr, Bethesda, MD 20817-7837 | 2020-07-26 |
| 1649722166 | Kevin I. Perman, Md PC | Ophthalmology | 6420 Rockledge Dr, Suite 4300, Bethesda, MD 20817-7837 | 2016-11-01 |
| 1205290129 | Albert Cytryn Md P.C. | Ophthalmology | 6420 Rockledge Dr, Suite 4300, Bethesda, MD 20817-7837 | 2016-04-06 |
| 1376910331 | Breanna Whitlock | Registered Nurse | 6420 Rockledge Dr, Suite 4100, Bethesda, MD 20817-7837 | 2015-08-26 |
| 1417345950 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 6420 Rockledge Dr, Suite 4290, Bethesda, MD 20817 | 2015-01-07 |
| 1407272396 | Jessica Anne Mukherjee | Registered Nurse | 6420 Rockledge Dr, Suite 4200, Bethesda, MD 20817-7837 | 2014-03-15 |
| 1104104280 | Elan Reisin Md Facs LLC | Plastic Surgery | 6420 Rockledge Dr, Suite 2300, Bethesda, MD 20817-7837 | 2011-07-24 |
| 1225361751 | Suburban Hospital, Inc. | Clinic/Center | 6420 Rockledge Dr, Suite 4100, Bethesda, MD 20817-7837 | 2009-09-16 |
| 1700013521 | Shaun Chandra Desai | Otolaryngology | 6420 Rockledge Dr, Suite 4920, Bethesda, MD 20817-7837 | 2009-06-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972135291 | Super Smile Center of Bethesda | Dentist | 10320 Westlake Dr., Suite# 109, Bethesda, MD 20817 | 2020-02-05 |
| 1659918175 | Morgan Cheatham | Behavior Technician | Attn: Behavioral Health Works 6701 Democracy Blvd, Suite 300, Bethesda, MD 20817 | 2019-12-03 |
| 1780233601 | Natalie Milazzo | Behavior Technician | Attattn: Behavioral Health Works 6701 Democracy Blvd., Suite 300, Bethesda, MD 20817 | 2019-09-04 |
| 1366090649 | Sarah Danko | Behavior Technician | Attn: Behavioral Health Works 6701 Democracy Blvd., Suite 300, Bethesda, MD 20817 | 2019-08-29 |
| 1679120760 | Markita Mccurdy | Behavior Technician | 6701 Democracy Blvd., Suite 300, Bethesda, MD 20817 | 2019-08-22 |
| 1548716277 | Roberta Glass | Psychiatry & Neurology | 9806 Marquette Dr., Bethesda, MD 20817 | 2016-09-01 |
| 1952725525 | Jenna Kuhn | Student in an Organized Health Care Education/Training Program | 6701 Democracy Blvd. Attn: Behavioral Health Works, Suite 300, Bethesda, MD 20817 | 2014-02-18 |
| 1912338088 | Nayereh Nina Ghamarian | Dentist | 6017 Bradley Blvd, Bethesda, MD 20817 | 2013-11-27 |
| 1386076495 | Hugo Galindo | Physical Therapist | 6410 Rockledge Drive, Suite 100, Nrh Rehabilitation Network Bethesda, Bethesda, MD 20817 | 2013-07-31 |
| 1538509260 | Anameti Usoro | Anesthesiology | 6430 Rockledge Dr Ste 160, Bethesda, MD 20817 | 2013-06-26 |
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| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124269766 | David Nathaniel Fairbanks | Otolaryngology | 6600 Bradley Blvd., Bethesda, MD 20817-3043 | 2009-03-11 |
| 1235223108 | Erik Kass | Otolaryngology | 7986 Old Georgetown Rd, Suite B, Bethesda, MD 20814-2458 | 2006-10-03 |
| 1629172309 | James Kevin Markwell | Otolaryngology | National Naval Med Ctr 8901 Wisconsin Ave, Otolaryngology Department, Bethesda, MD 20889-0001 | 2006-09-12 |
| 1902816713 | Pamela Kearney | Otolaryngology | Nih Ninds Mnb Lss-10 Center Drive, Building 10 Room 5d38, Bethesda, MD 20892-1416 | 2006-08-08 |
| 1841545316 | Vaninder K Dhillon | Otolaryngology | 6420 Rockledge Dr Ste 4920, Bethesda, MD 20817-7848 | 2012-07-19 |
| 1851534820 | Carter Vanwaes | Otolaryngology | 10 Center Dr, Crc 4-2732, Bethesda, MD 20892-0001 | 2009-04-07 |
| 1003077587 | Jennifer Lynn Goodrich | Otolaryngology | 8901 Rockville Pike, Nnmc, Bethesda, MD 20889-0001 | 2008-06-18 |
| 1669680328 | Wojciech Krzysztof Mydlarz | Otolaryngology | 6420 Rockledge Dr, Suite 4920, Bethesda, MD 20817-7837 | 2007-05-18 |
| 1558420232 | Anjum Khan | Otolaryngology | National Naval Medical Ctr, 8901 Wisconsin Ave., Bethesda, MD 20889-5600 | 2006-12-08 |
| 1144320359 | Esther Kim | Otolaryngology | 8901 Wisconsin Ave, 5th Floor, America Building, Bethesda, MD 20889-0004 | 2006-09-25 |
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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.