Jacquelyn L Allen (NPI# 1134308745, PAC ID# 1153446992) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1134308745 |
| PAC ID by PECOS | 1153446992 |
| Professional Enrollment ID | I20160614000798 |
| Full Name | Jacquelyn L Allen |
| Organization Legal Name | SHAWNEE MISSION MEDICAL CENTER INC |
| Address |
14744 W 119th St Adventhealth Centra Care Olathe Olathe KS 66062-8602 |
| Phone Number | 9138391759 |
| Gender | F |
| Medical School | UNIVERSITY OF NEW ENGLAND, COLLEGE OF OSTEO MEDICINE |
| Graduation Year | 2007 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 1153239298 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 170104 | SHAWNEE MISSION MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 9301 W 74th St, 100 Ahmg Hematology Oncology At Shawnee, Merriam, KS 66204-2217 | 9136329100 | SHAWNEE MISSION MEDICAL CENTER INC |
| 14744 W 119th St, Adventhealth Centra Care Olathe, Olathe, KS 66062-8602 | 9138391759 | SHAWNEE MISSION MEDICAL CENTER INC |
| 11245 Shawnee Mission Pkwy, Adventhealth Centra Care Shawnee, Shawnee, KS 66203-3333 | 9132684455 | SHAWNEE MISSION MEDICAL CENTER INC |
| Organization Legal Name | SHAWNEE MISSION MEDICAL CENTER INC |
| Physicians | 147 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rebecca Bliss Ryan Milholland | Neurology | Shawnee Mission Medical Center Inc | 9100 W 74th St, Ahmg Cardiology At Shawnee Mission, Merriam, KS 66204-4004 |
| Jee Hyon Park | Internal Medicine | Shawnee Mission Medical Center Inc | 8960 Commerce Dr, Suite 4e, De Soto, KS 66018-8431 |
| Whitney B Breen | Nurse Practitioner | Shawnee Mission Medical Center Inc | 7501 Mission Rd, Suite 103, Prairie Village, KS 66208-4217 |
| Dennis M Jensen | Family Medicine | Shawnee Mission Medical Center Inc | 23351 Prairie Star Pkwy, Suite A245, Lenexa, KS 66227-7301 |
| Joan L Smith | Nurse Practitioner | Shawnee Mission Medical Center Inc | 7840 W 165th St, 210 Ahmg Internal Medicine and Pediatrics, Overland Park, KS 66223-2993 |
| Jacqueline N Switzer | Nurse Practitioner | Shawnee Mission Medical Center Inc | 8700 Bourgade St, Suite 2, Lenexa, KS 66219-1440 |
| Theresa M Turk | Nurse Practitioner | Shawnee Mission Medical Center Inc | 6815 Hilltop Rd, Suite 100, Shawnee, KS 66226-3551 |
| Charlie J Matteson | Family Practice | Shawnee Mission Medical Center Inc | 9040 Quivira Rd, Lenexa, KS 66215-3902 |
| Kimberly A Cochran | Neurology | Shawnee Mission Medical Center Inc | 7301 E Frontage Rd, Merriam, KS 66204-1632 |
| Van T Tran | Family Medicine | Shawnee Mission Medical Center Inc | 11245 Shawnee Mission Pkwy, Adventhealth Centra Care Shawnee, Shawnee, KS 66203-3333 |
| Street Address |
14744 W 119TH ST ADVENTHEALTH CENTRA CARE OLATHE |
| City | OLATHE |
| State | KS |
| Zip | 66062-8602 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew R Almaguer | Family Medicine | Shawnee Mission Medical Center Inc | 14744 W 119th St, Adventhealth Centra Care Olathe, Olathe, KS 66062-8602 |
| Sandra M Archer | Family Medicine | Shawnee Mission Medical Center Inc | 14744 W 119th St, Adventhealth Centra Care Olathe, Olathe, KS 66062-8602 |
| Ingrid B Keleti | Internal Medicine | Shawnee Mission Medical Center Inc | 14744 W 119th St, Adventhealth Centra Care Olathe, Olathe, KS 66062-8602 |
| Daniel C Reeves | Family Medicine | Shawnee Mission Medical Center Inc | 14744 W 119th St, Adventhealth Centra Care Olathe, Olathe, KS 66062-8602 |
| Henry F Arst | Emergency Medicine | Shawnee Mission Medical Center Inc | 14744 W 119th St, Adventhealth Centra Care Olathe, Olathe, KS 66062-8602 |
| Dawn M Peterson | Family Medicine | Shawnee Mission Medical Center Inc | 14744 W 119th St, Adventhealth Centra Care Olathe, Olathe, KS 66062-8602 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anna M Dietz Henk | Clinical Social Worker | 11695 S Blackbob Rd, Olathe, KS 66062-1058 | |
| Jere Lee Mills | Chiropractic | 13795 S Mur-len Rd, Suite 203, Olathe, KS 66062-1096 | |
| Tracy S Alagna | Nurse Practitioner | Mid America Senior Management LLC | 16600 W 126th St, Villa St Francis, Olathe, KS 66062-1184 |
| Mary Sue Hardage | Clinical Social Worker | 511 N Mur Len Rd, Olathe, KS 66062-1242 | |
| Jeremy S Dulin | Chiropractic | 13095 S Mur Len Rd, Suite 170, Olathe, KS 66062-1250 | |
| Kim P Miley | Chiropractic | 13095 S Mur Len Rd, Suite 170, Olathe, KS 66062-1250 | |
| Troy I Rockers | Chiropractic | 501 N Mur Len Rd A, Olathe, KS 66062-1258 | |
| Brent L Halderman | Psychologist, Clinical | 513 N Mur Len Rd, Olathe, KS 66062-1318 | |
| Carol Sabath | Nurse Practitioner | Take Care Health Kansas Pa | 13450 S Blackbob Rd, Olathe, KS 66062-1503 |
| Callie Ballenger | Nurse Practitioner | Take Care Health Kansas Pa | 13450 S Blackbob Rd, Olathe, KS 66062-1503 |
| Find all physicians in zip 66062 | |||
| City | OLATHE |
| Zip Code | 66062 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | OLATHE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Jacquelyn L Allen.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.