Provider Demographics
NPI:1659357291
Name:ALLEN, CAROL HOPE (MD)
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:HOPE
Last Name:ALLEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CAROL
Other - Middle Name:HOPE
Other - Last Name:HINDS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1999 W. HUNTING PARK AVENUE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19140-4004
Mailing Address - Country:US
Mailing Address - Phone:215-228-9300
Mailing Address - Fax:215-228-9913
Practice Address - Street 1:432 N 6TH ST
Practice Address - Street 2:
Practice Address - City:PHILA
Practice Address - State:PA
Practice Address - Zip Code:19123-4004
Practice Address - Country:US
Practice Address - Phone:215-925-2400
Practice Address - Fax:215-925-9162
Is Sole Proprietor?:No
Enumeration Date:2005-12-15
Last Update Date:2010-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD038841L207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA000934410Medicaid
PA0053018000OtherINDEPENDENCE BLUE CROSS
PA0093441008OtherAMERICHOICE
PA1002569OtherKEYSTONE MERCY HEALTH PLA
PA439045OtherHIGHMARK BLUE SHIELD
PA533044OtherCOVENTRY HEALTH AMERICA
PA3211319OtherAETNA HMO
PA10523OtherBRAVO HEALTH
PA3Y7736OtherHEALTH NET
PAP00025014OtherRAILROAD MEDICARE
PA533044OtherCOVENTRY HEALTH AMERICA
PA0053018000OtherINDEPENDENCE BLUE CROSS
PA000934410Medicaid