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SUSAN ALLEN NPI 1134198203


NPI Information

NPI: 1134198203
Provider Name: SUSAN ALLEN
Classification: Internal Medicine - 207RG0300X
Entity Type: Individual

Specialization: Geriatric Medicine

Address:
1949 W 12 MILE RD STE 100
BEAUMONT GERIATRIC SERVICES
BERKLEY, MI
ZIP 48072
Phone: (248) 551-1756
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Susan Allen is a geriatric medicine internal medicine in Berkley, MI. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. Susan Allen NPI is 1134198203. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1949 W 12 MILE RD STE 100
BEAUMONT GERIATRIC SERVICES
BERKLEY, MI
ZIP 48072-868
Phone: (248) 551-1756

The enumeration date for this NPI number is 3/14/2006 and was last updated on 4/7/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RG0300XInternal MedicineGeriatric Medicine4301065763MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10F349850OTHERMICHIGANBCBSM
2H30116MEDICARE UPINMICHIGAN
34266950MEDICAIDMICHIGAN
40N74270MEDICARE PINMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.