Physician Compare National (NPI:1285780874)

HEALTHCARE PROVIDER: ALISON BIBLE ALLEN MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1285780874
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2466585757
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100806000824
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ALLEN
	Individual professional last name
Provider First Name	ALISON
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2006
	Individual professional's medical school graduation year
Primary Specialty	NEUROPSYCHIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	350 MARKET ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 1
	Group Practice or individual's line 2 address
City	BASALT
	Group Practice or individual's city
State	CO
	Group Practice or individual's state
Zip Code	816217402
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	061324
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ASPEN VALLEY HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	060075
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	VALLEY VIEW HOSPITAL ASSOCIATION
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	061317
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	GRAND RIVER HOSPITAL DISTRICT
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	060096
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	VAIL HEALTH HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y