Individual
DR. JASON W ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
714 N SENATE AVE STE 200, INDIANAPOLIS, IN 46202-3297
(317) 963-0156
(317) 963-2711
Mailing address
1016 ISLAND BOULEVARD FI, FOX ISLAND, WA 98333-9533
(253) 282-5331
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
01091583A
IN
2085N0700X
Neuroradiology Physician
01091583A
IN
2085N0700X
Neuroradiology Physician
225479
NY
2085N0700X
Neuroradiology Physician
MD 00047959
WA
2085R0202X
Diagnostic Radiology Physician
Primary
01091583A
IN
2085R0202X
Diagnostic Radiology Physician
069366
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1100023631
ANTHEM PTAN
IN
05
—
300081297
—
IN
Enumeration date
06/26/2006
Last updated
07/11/2025
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