MEDICARE: JAMES RICHARD ALLMAN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	60132	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1710980248
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES RICHARD ALLMAN M.D.

Provider Business Mailing Address
First Line	:	PO BOX 72098
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44192-0002
Country	:	US
Telephone Number	:	419-207-2513
Fax Number	:	419-207-2349

Provider Business Practice Location Address
First Line	:	350 HILLCREST DR
Second Line	:	SUITE 2
City	:	ASHLAND
State	:	OH
Zip	:	44805-4052
Country	:	US
Telephone Number	:	419-207-2513
Fax Number	:	419-207-2349

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/30/2005
Last Update Date	:	11/06/2020

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