Healthcare Provider Details
I. General information
NPI: 1932996949
Provider Name (Legal Business Name): PATRICK JAMES ALLISON MD, FRCSC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 04/22/2025
Last Update Date: 04/22/2025
Certification Date: 04/22/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
100 HOSPITAL AVE
DU BOIS PA
15801-1440
US
IV. Provider business mailing address
4284 STELLATA CT
HARRISBURG PA
17112-2743
US
V. Phone/Fax
- Phone: 814-371-2200
- Fax:
- Phone: 705-920-1997
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207XS0114X |
| Taxonomy | Adult Reconstructive Orthopaedic Surgery Physician |
| License Number | MD487782 |
| License Number State | PA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207XX0004X |
| Taxonomy | Orthopaedic Foot and Ankle Surgery Physician |
| License Number | MD487782 |
| License Number State | PA |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207XX0801X |
| Taxonomy | Orthopaedic Trauma Physician |
| License Number | MD487782 |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: