David C Allen
Obstetrics & Gynecology

Address: 801 Pole Line Rd W, Suite 3880, Twin Falls, ID 83301-5810
Phone: 2088148500

David C Allen (NPI# 1225045693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1225045693
Entity Type Individual
Full Name David C Allen
Credential MD
Gender Male
Practice Address 801 Pole Line Rd W
Suite 3880
Twin Falls
ID 83301-5810
Practice Telephone 2088148500
Practice Fax Number 2087344143
Mailing Address Po Box 587
Twin Falls
ID 83303-0587
Mailing Telephone 2088147400
Mailing Fax Number 2088147491
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2006-08-01
Last Update Date 2014-12-04

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 207V00000X Obstetrics & Gynecology Allopathic & Osteopathic Physicians M6460 ID

Other Provider Identifier

State Identifier Issuer Type Code
ID 002607700 MEDICAID

Other Providers DAVID ALLEN

NPI Name Taxonomy Address Enumeration
1093295479 David Allen Counselor 806 Brighton Ave, Toledo, OH 43609-3032 2018-08-15
1306186549 David Ryan Allen Behavior Analyst 7373 University Ave, Suite #114, La Mesa, CA 91942-0500 2013-02-26
1346541836 David D Allen Counselor 51 Merchants Row, Rutland, VT 05701-5901 2010-11-15
1588974042 David Allen Clinical Neuropsychologist 2776 Carmar Dr, Los Angeles, CA 90046-1009 2010-10-19
1235458464 David Wayne Allen Physical Therapy Assistant 2241 Morning Glory Dr, Sellersburg, IN 47172-9363 2010-05-27
1811126170 David Presley Allen Podiatrist 537 Kentucky Ave Ste B, Bogalusa, LA 70427-3913 2009-07-08
1225240245 David R. Allen Psychologist 335 Grant St, Indiana, PA 15701-3158 2007-05-03
1740304732 David Allen Nurse Anesthetist, Certified Registered 3235 N Towerbridge Way Ste 100, Meridian, ID 83646-5721 2007-03-17
1598899429 David Mark Allen Chiropractor 625 North Riverside Drive, Clarksville, TN 37040 2007-03-15
1326178427 David C Allen Dentist 407 So 48th St, Quincy, IL 62305-9102 2007-03-07

Physician Overview

NPI 1225045693
PAC ID by PECOS 3072552249
Professional Enrollment ID I20050427000583
Full Name David C Allen
Organization Legal Name ST LUKE'S CLINIC, LLC
Phone Number 2082381039
Gender M
Credential MD
Medical School UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduation Year 1990
Primary Specialty OBSTETRICS/GYNECOLOGY
Group Practice PAC ID 1052217478
Number of Group Practice Members 219
Accepts Medicare Assignment Y
Report Quality Measures Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
130002 ST LUKES MAGIC VALLEY MEDICAL CENTER

Office Location

Street Address 801 POLE LINE RD W
SUITE 3880
City TWIN FALLS
State ID
Zip Code 83301-5810

Providers in the same location

NPI Name Taxonomy Address Enumeration
1891784245 Elizabeth Jo Johnson Family Medicine 801 Pole Line Rd W, Suite 3810, Twin Falls, ID 83301-5810 2005-10-18
1720559404 Lauren Cacopardo Nurse Practitioner 801 Pole Line Rd W, Twin Falls, ID 83301-5810 2018-12-06
1851879530 Thomas Brian Korth Physical Therapist 801 Pole Line Rd W, Twin Falls, ID 83301-5810 2018-08-03
1477030112 Amy Elizabeth Schneider Speech-Language Pathologist 801 Pole Line Rd W, Twin Falls, ID 83301-5810 2018-07-25
1205312956 Margaret Wright Speech-Language Pathologist 801 Pole Line Rd W, Twin Falls, ID 83301-5810 2018-07-16
1215420591 Sonamarivell Granados Dietitian, Registered 801 Pole Line Rd W, Twin Falls, ID 83301-5810 2018-06-11
1518459445 Cortney Kunkle Speech-Language Pathologist 801 Pole Line Rd W, Twin Falls, ID 83301-5810 2018-06-06
1104318690 Janice Preuit Registered Nurse 801 Pole Line Rd W, Twin Falls, ID 83301 2018-05-31
1649767237 Becki Lee Kulm Social Worker 801 Pole Line Rd W, Twin Falls, ID 83301-5810 2018-04-18
1497259477 Jamie Danielle Hyles Social Worker 801 Pole Line Rd W, Twin Falls, ID 83301-5810 2018-03-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972073377 Wood River Acupuncture Acupuncturist 1625 Addison Ave East, Twin Falls, ID 83301 2018-11-28
1235629874 Lonnie Paul Counselor 1092 Eastland Dr N Ste A, Twin Falls, ID 83301 2018-05-17
1053801456 Stephanie Rands Gorringe Registered Nurse 835 Grace Drive W, Twin Falls, ID 83301 2018-05-11
1679060966 Christina Jirapha Thongdee Social Worker 625 Poleline Road West, Suite 2a, Twin Falls, ID 83301 2018-04-23
1437658499 Tyrel Kevin Ward Chiropractor 2167 Village Park Ave., Suite 100, Twin Falls, ID 83301 2018-02-06
1831636752 River View Surgery Center, LLC Clinic/Center 1502 Locust St North, Twin Falls, ID 83301 2017-01-30
1851836381 Serenity Healthcare, LLC Skilled Nursing Facility 1134 Cheney Drive West, Twin Falls, ID 83301 2016-12-19
1578005195 Matthew Carter Physical Therapist 1053 Eastland Drive, Twin Falls, ID 83301 2016-11-14
1790227783 Murvat Usmanova Nurse Practitioner 775 Pole Line Road W, Suite 203, Twin Falls, ID 83301 2016-11-08
1811349129 Shannon R Kerrick Social Worker 2818 Sunray Loop, Twin Falls, ID 83301 2016-07-11
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Taxonomy Information

Taxonomy Code 207V00000X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology

Taxonomy Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790875920 Magic Valley Womens Health Clinic, Pllc Obstetrics & Gynecology 630 Addison Ave West, Suite #210, Twin Falls, ID 83301 2006-10-16
1609054170 Miles H. Humphrey, M.d. Obstetrics & Gynecology 238 Martin St, Twin Falls, ID 83301-4542 2008-02-06
1568479301 Darren W Coleman Obstetrics & Gynecology 801 Pole Line Rd W, Suite 3880, Twin Falls, ID 83301-5810 2006-08-02
1902813371 Marc T Astin Obstetrics & Gynecology 801 Pole Line Rd W, Suite 3880, Twin Falls, ID 83301-5810 2006-08-01
1710994173 Earl Monte Crandall Obstetrics & Gynecology 801 Pole Line Rd W, Suite 3880, Twin Falls, ID 83301-5810 2006-08-01
1982611356 Donald E Smith Obstetrics & Gynecology 801 Pole Line Rd W, Suite 3880, Twin Falls, ID 83301-5810 2006-08-01
1578502589 Matthew H Packham Obstetrics & Gynecology 801 Pole Line Rd W, Suite 3880, Twin Falls, ID 83301-5810 2006-06-05

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1659887511 Bmh Inc. Obstetrics & Gynecology 777 Hospital Way Ste 300, Pocatello, ID 83201-5176 2017-12-14
1033554480 Maryalice Lopez Obstetrics & Gynecology 333 N 1st St Ste 240, Boise, ID 83702-6132 2013-04-29
1992069454 Bonner General Hospital, Inc Obstetrics & Gynecology 423 N. Third Ave, Suite 210, Sandpoint, ID 83864-1505 2012-06-29
1295001170 Anne Feighner Obstetrics & Gynecology 400 E Idaho St #400, St. Luke's Clinic - The Woman's Clinic, Boise, ID 83712 2012-03-26
1902179914 Gary Gregerson Md Pa Obstetrics & Gynecology 1611 12th Ave Road, Suite A, Nampa, ID 83686-6182 2012-02-22
1073809729 Morgan Ann Morton Obstetrics & Gynecology 423 North 3rd Ave., Ste. 210, Sandpoint, ID 83864-1505 2011-06-21
1366734998 Jeffrey David Johnson Obstetrics & Gynecology 423 N. 3rd Ave, #210, Sandpoint, ID 83864-1565 2011-05-16
1619270139 Carriage House Obstetrics and Gyncecology, LLC Obstetrics & Gynecology 1570 Midway Dr, Suite 1, Ammon, ID 83406-6912 2010-12-07
1972827582 Carissa M Richardson Obstetrics & Gynecology 980 W Ironwood Dr #101, Coeur D'alene, ID 83814 2010-03-25
1295975423 Jeffrey Jackson Hunter Obstetrics & Gynecology 315 E Elm St Ste 310, Caldwell, ID 83605-4881 2009-02-27
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Competitor

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City TWIN FALLS
Zip Code 83301

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Dataset Information

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.

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