Provider Demographics
NPI:1548280829
Name:ROBERT E. ALLEMAN, M.D., P.A.
Entity type:Organization
Organization Name:ROBERT E. ALLEMAN, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER/RN
Authorized Official - Prefix:
Authorized Official - First Name:KAY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:ALLEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-215-5411
Mailing Address - Street 1:2503 W KINGSHIGHWAY # 2-6053
Mailing Address - Street 2:
Mailing Address - City:PARAGOULD
Mailing Address - State:AR
Mailing Address - Zip Code:72450-3921
Mailing Address - Country:US
Mailing Address - Phone:870-215-5411
Mailing Address - Fax:870-215-5424
Practice Address - Street 1:1309 W MAIN ST
Practice Address - Street 2:
Practice Address - City:WALNUT RIDGE
Practice Address - State:AR
Practice Address - Zip Code:72476
Practice Address - Country:US
Practice Address - Phone:816-228-5000
Practice Address - Fax:870-215-5424
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-20
Last Update Date:2018-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR164174002Medicaid
MOC50429Medicare UPIN
AR5F690Medicare PIN