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ALLAN DEE MCKENZIE M.D. NPI 1003831462


NPI Information

NPI: 1003831462
Provider Name: ALLAN DEE MCKENZIE, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

CLIA Number: 04D2132908

Address:
4523 WOODLAWN DR
LITTLE ROCK, AR
ZIP 72205
Phone: (501) 663-2363
Get Directions

Allan Dee Mckenzie, M.D. is a family medicine in Little Rock, AR with 21 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Allan Dee Mckenzie, M.D. NPI is 1003831462. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduation Year:2003

The provider's business location address is:

4523 WOODLAWN DR
LITTLE ROCK, AR
ZIP 72205
Phone: (501) 663-2363
Fax: (501) 663-2362

The NPI 1003831462 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 04D2132908 - physician office with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Hemoglobin A1C level (HCPCS:83036)
  • Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
  • Automated urinalysis test (HCPCS:81003)
  • Pneumococcal vaccine for injection into muscle (HCPCS:90670)
  • Administration of pneumococcal vaccine (HCPCS:G0009)

The enumeration date for this NPI number is 7/13/2006 and was last updated on 5/10/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineE4388ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1162394001MEDICAIDARKANSAS
22674768OTHERARKANSASUNITED HEALTHCARE
35N669MEDICARE PINARKANSAS
4I61644MEDICARE UPINARKANSAS
5P00356918MEDICARE PINARKANSAS
606080012300OTHERARKANSASQUALCHOICE
7764178OTHERARKANSASHEALTHLINK
87203815OTHERARKANSASAETNA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.