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Active NPI 1629152764 Individual Practitioner Male Practitioner

Allen Michael Frey , RT

Radiologic Technologist - Radiography • Dulce, NM

Professional Overview & Biography Verified Profile Summary

Allen Frey, RT is a registered healthcare professional specializing in Radiologic Technologist - Radiography in Dulce, NM. Practice services are available at JICARILLA APACHE HEALTH CARE CENTER under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

Jicarilla Apache Health Care Center
12000 Stone Lake Road

Dulce, NM 87528

Telephone 5057593291
Associated Practice Facility / Clinic
🏢 Dulce Health Center Facility NPI 1750388963

Specialty Benchmarks & Practice Insights

Comparative analytics for Radiologic Technologist - Radiography in Dulce, NM

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Dulce, NM (9 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Radiologic Technologist - Radiography Primary Specialty

NUCC Taxonomy Code: 2471C3402X

A radiologic technologist who specializes in radiography (also known as x-rays) and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of radiographs, exam techniques, equipment protocols, radiation safety, and patient care.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
000K3526 (NM)
Commercial Insurance / Payer ID Medicare Part B
HSZ196 (NM)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners
NPI 1144323353

Doctor of Medicine (M.D.)

James Sutton , RN

Registered Nurse - Community Health

NPI 1194802017

Registered Nurse

Marie March , RN

Registered Nurse

NPI 1356358881

Registered Nurse

Susan Constance , RN

Registered Nurse - Ambulatory Care

NPI 1467476440

Registered Nurse

Kristine Williams , RD LD

Dietitian, Registered

NPI 1508832791

RDLD

Richard March , PA

Physician Assistant

NPI 1568453702

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 27, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location May 27, 2008

Registered at JICARILLA APACHE HEALTH CARE CENTER, 12000 STONE LAKE ROAD, DULCE, NM 87528 (Tel: 5057593291)

📍
Updated Business Mailing Address May 27, 2008

Registered at HC 75 BOX 189, CHAMA, NM 875209712 (Tel: 5057567219)

👤
Provider Name / Credentials Updated May 27, 2008

Recorded as ALLEN FREY, R.T.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 27, 2008

Radiologic Technologist

🟢
Initial NPI Registration & Enumeration October 25, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1629152764
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 25, 2006
Last Update: May 27, 2008
Sole Proprietor: No

Mailing Address

Hc 75 Box 189

Chama, NM 875209712

Phone: 5057567219

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.