LATOYA ALLEN (NPI# 1518366863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518366863 |
Entity Type | Individual |
Full Name | LATOYA ALLEN |
Credential | PA-C |
Practice Address |
2450 Highgate St Unit 12 Medford OR 97501-7955 |
Practice Telephone | 3604020141 |
Mailing Telephone | 3604020141 |
Enumeration Date | 2014-08-21 |
Last Update Date | 2014-08-21 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
OR | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
2450 HIGHGATE ST UNIT 12 |
City | MEDFORD |
State | OR |
Zip Code | 97501-7955 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366069494 | Brian Snapp | Counselor | 1191 Hazel St, Medford, OR 97501 | 2020-07-06 |
1477174761 | Corey Renfree | Counselor | 1191 Hazel Street, Medford, OR 97501 | 2020-04-28 |
1669012928 | One of A Kind Therapy LLC | Social Worker | 916 West 10th St #205, Medford, OR 97501 | 2020-01-14 |
1265993620 | Star Dialysis LLC | Clinic/Center | 50 Rossanley Dr, Medford, OR 97501 | 2019-03-28 |
1962972463 | Karen Elise Roertgen | Counselor | 328 So. Central Ave., Suite 204, Medford, OR 97501 | 2018-11-28 |
1316458813 | Rick's Medical Supply, Inc | Durable Medical Equipment & Medical Supplies | 562 Parsons Drive, Suite 114, Medford, OR 97501 | 2017-10-24 |
1750807111 | La Clinica Del Valle Family Health Care Center Inc. | Clinic/Center | 821 N Riverside Ave, Medford, OR 97501 | 2017-08-17 |
1992229009 | Cassandra Schultz | Massage Therapist | 824 East Jackson, Suite A, Medford, OR 97501 | 2017-07-31 |
1972962355 | Robin Clevenger | Peer Specialist | 301 S Ivy St, Medford, OR 97501 | 2016-02-15 |
1154706984 | Debbie Diane Orr | Behavioral Analyst | 1024 West 9th Street, Medford, OR 97501 | 2015-07-22 |
Find all providers in zip 97501 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154848356 | Alyssa Catherine Griffin | Physician Assistant | 265 Bridgeport Ave, Medford, NY 11763-4018 | 2017-08-28 |
1760907125 | Amanda Stevens | Physician Assistant | 1731 N Ocean Ave Ste A, Medford, NY 11763-2670 | 2017-08-07 |
1942491097 | Diana M Loo | Physician Assistant | 940 Royal Ave Unit 420, Medford, OR 97504-6194 | 2007-08-05 |
1821159658 | Dean W Moss | Physician Assistant | 3720 Fieldbrook Ave, Medford, OR 97504-9474 | 2006-12-13 |
1437762333 | Nicole Elisa Gregoire | Physician Assistant | 2900 State St, Medford, OR 97504-8458 | 2020-08-28 |
1043705460 | Hakan Binek | Physician Assistant | 520 Medical Center Dr Ste 300, Medford, OR 97504-4316 | 2018-06-27 |
1659884401 | Savana Marisa Cochrane | Physician Assistant | 520 Medical Center Dr Ste 300, Medford, OR 97504-4316 | 2017-11-14 |
1730692500 | Michael Jaskot | Physician Assistant | 2780 E Barnett Rd, Medford, OR 97504-8674 | 2017-11-14 |
1740792316 | James Zheng Berking | Physician Assistant | 2780 E Barnett Rd, Medford, OR 97504-8674 | 2017-11-03 |
1033588546 | Daniel Neville | Physician Assistant | 520 Medical Center Dr, Suite 201, Medford, OR 97504-4334 | 2015-09-15 |
Find all providers in MEDFORD |
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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.