MS. ELAINE ALLEN (NPI# 1417970492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417970492 |
| Entity Type | Individual |
| Full Name | MS. ELAINE ALLEN |
| Credential | DPM |
| Practice Address |
325 Four Leaf Ln Ste 11a Charlottesville VA 22903-9203 |
| Practice Telephone | 4342428550 |
| Practice Fax Number | 4342054637 |
| Mailing Telephone | 4342428550 |
| Mailing Fax Number | 4342054637 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | 000744 | GA | Podiatric Medicine & Surgery Service Providers |
| N | 213ER0200X |
Podiatrist Specialization: Radiology |
000744 | GA | Podiatric Medicine & Surgery Service Providers |
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
000744 | GA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | BLUE CROSS BLUE SHEILD | 393136 | 01 |
| RAILROAD MEDICARE | P00240565 | 01 | |
| GA | 00698167D | 05 | |
| UNITED HEALTHCARE | 0000163909413 | 01 | |
| GA | WELLCARE OF GEORGIA | 323715 | 01 |
| AETNA HMO | 3641408 | 01 | |
| AETNA PPO/POS | 4572029 | 01 | |
| GA | DMERC - PALMETTO | 5217840001 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 103 S Pantops Dr, Suite 201, Charlottesville, VA 229118617 | 4349778040 | 4349778040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568944957 | Elaine Sera Allen | Social Worker | 157 Wright Rd, Concord, MA 01742-2036 | 2018-08-31 |
| 1144562661 | Elaine Allen | Early Intervention Provider Agency | 1881 W Alexander Rd, J-1037, North Las Vegas, NV 89032-9016 | 2013-03-22 |
| 1154457042 | Elaine M. Allen | Massage Therapist | 31 Pleasant Street, Clifton Springs, NY 14432 | 2007-02-26 |
| 1558371054 | Elaine Renee Allen | Chiropractor | 960 E 53rd St, Suite 4b, Davenport, IA 52807-2613 | 2006-08-08 |
| 1578194205 | Elaine Allen | Registered Nurse | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2020-01-31 |
| 1609051598 | Elaine Evans Allen | Social Worker | 501 Crescent St, New Haven, CT 06515-1330 | 2008-01-09 |
| 1205966470 | Elaine Elizabeth Allen | Nurse Practitioner | 123 Franklin Corner Rd, Suite 116, Lawrenceville, NJ 08648-2526 | 2007-03-06 |
| 1578698015 | Elaine Ruth Allen | Dentist | 13660 Route 30, N Huntingdon, PA 15642-1136 | 2007-02-23 |
| 1538202684 | Elaine Joy Allen | Marriage & Family Therapist | 160 S 7th Ave, La Puente, CA 91746-3211 | 2007-02-15 |
| 1740388768 | Elaine Allen | Physical Therapist | 7580 Northcliff Ave, Building B Suite 700, Brooklyn, OH 44144-3270 | 2006-09-21 |
| Street Address |
325 FOUR LEAF LN STE 11A |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip Code | 22903-9203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528572807 | Elaine Allen, Dpm LLC | Podiatrist | 325 Four Leaf Ln Ste 11a, Charlottesville, VA 22903-9203 | 2017-11-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326671009 | Ticynn Symone London | Specialist/Technologist | 723 Retriever Run, Ticynn London, Charlottesville, VA 22903 | 2020-02-20 |
| 1043853542 | Elaine Mccall | Dietitian, Registered | 1335 Jefferson Park Ave, Charlottesville, VA 22903 | 2019-10-28 |
| 1205480753 | Sean Robert Bennett | Clinic/Center | 433 Ednam Drive, Charlottesville, VA 22903 | 2019-08-01 |
| 1922562818 | Lynn Owen Taggart | Student in an Organized Health Care Education/Training Program | 300 Grassmere Rd, Charlottesville, VA 22903 | 2019-01-25 |
| 1831636166 | Sarah Michelle Richin | Social Worker | 709 A West Main St, Charlottesville, VA 22903 | 2017-01-25 |
| 1962868851 | Kelly Stewart Maurer | Counselor | 3101 Fontaine Avenue, Charlottesville, VA 22903 | 2016-01-07 |
| 1831592039 | Bearley Dental PC | Dentist | 901 Preston Ave, Suite 200, Charlottesville, VA 22903 | 2014-10-01 |
| 1730437823 | Frances Eva Demmerle | Neuromusculoskeletal Medicine & OMM | 1149 Rose Hill Dr., Charlottesville, VA 22903 | 2012-08-21 |
| 1801142229 | University of Virginia | General Acute Care Hospital | 1925 Beechcrest Court, Charlottesville, VA 22903 | 2012-08-03 |
| 1407123516 | Laura P. Handler | Counselor | 500 Old Lynchburg Rd., Region Ten Csb, Charlottesville, VA 22903 | 2011-11-18 |
| Find all providers in zip 22903 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215314521 | Amanda M. Lutter | Podiatrist | 600 Peter Jefferson Pkwy Ste 360, Charlottesville, VA 22911-8837 | 2015-05-06 |
| 1730112475 | Blue Ridge Foot and Ankle Clinic Plc | Podiatrist | 887a Rio East Ct, Charlottesville, VA 22901-8004 | 2006-07-08 |
| 1881664571 | Joseph R Disabato | Podiatrist | 103 S Pantops Dr, Suite 201, Charlottesville, VA 22911-8617 | 2006-01-25 |
| 1205362233 | Ryan Pivovar | Podiatrist | 103 S Pantops Dr, Ste 201, Charlottesville, VA 22911-8617 | 2017-05-11 |
| 1437442506 | Maryellen Waltz | Podiatrist | 887a Rio East Ct, Charlottesville, VA 22901-8004 | 2011-05-24 |
| 1548333842 | Albemarle Charlottesville Podiatry Associates Ltd | Podiatrist | 2050 Abbey Rd, Suite C, Charlottesville, VA 22911-3553 | 2006-11-16 |
| 1760401921 | Virginia Foot & Ankle Surgical Associates | Podiatrist | 103 S Pantops Dr, Suite 201, Charlottesville, VA 22911-8617 | 2006-07-19 |
| 1346226446 | Christopher Brian Stewart | Podiatrist | 600 Peter Jefferson Pkwy, Ste 360, Charlottesville, VA 22911-8608 | 2005-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952909228 | The Ankle and Foot Clinic of Northern Virginia, Pllc | Podiatrist | 12628 Tide View Ct, Bristow, VA 20136-1175 | 2020-10-09 |
| 1912542713 | Michael A Dente Jr Dpm Plc | Podiatrist | 356 Mclaws Cir Ste 1, Williamsburg, VA 23185-6345 | 2019-11-15 |
| 1609431964 | Ana Anahit Emirzian | Podiatrist | 3300 Gallows Road, Original Building, Falls Church, VA 22042-3307 | 2019-05-02 |
| 1508329913 | District Foot and Ankle | Podiatrist | 4875 Eisenhower Ave Ste 230, Alexandria, VA 22304-4833 | 2019-04-11 |
| 1104300359 | Vineela Ayyagari | Podiatrist | 9017 Fletcher Farm Ct, Manassas, VA 20112-5867 | 2018-09-23 |
| 1083137871 | Rural Podiatry, LLC | Podiatrist | 7010 Mountain Rd, Halifax, VA 24558-2392 | 2017-07-24 |
| 1356863781 | Chen Foot & Ankle Center LLC | Podiatrist | 1948 Jenkins Mill Rd, Suffolk, VA 23437-9401 | 2017-07-07 |
| 1568982247 | Soumaya Bader | Podiatrist | 632 Cedar Rd Ste B, Chesapeake, VA 23322-8376 | 2017-06-22 |
| 1013440569 | Richard Bruno | Podiatrist | 2790 Godwin Blvd Ste 355, Suffolk, VA 23434-8173 | 2017-04-11 |
| 1497289961 | David Chan | Podiatrist | 224d Cornwall St Nw # 203100, Leesburg, VA 20176-2713 | 2017-04-11 |
| Find all providers with the same taxonomy | ||||
| City | CHARLOTTESVILLE |
| Zip Code | 22903 |
Please comment or provide details below to improve the information on MS. ELAINE 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.