1528290665 NPI number — MR. STEVEN THOMAS ALEXANDER M.D.

Table of content: MR. STEVEN THOMAS ALEXANDER M.D. (NPI 1528290665)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1528290665 NPI number — MR. STEVEN THOMAS ALEXANDER M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ALEXANDER
Provider First Name:
STEVEN
Provider Middle Name:
THOMAS
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1528290665
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/14/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
306 MINTON VALLEY LN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CARY
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
27519-9105
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
919-280-7721
Provider Business Mailing Address Fax Number:
866-538-4716

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
12341 STRICKLAND RD
Provider Second Line Business Practice Location Address:
SUITE 102
Provider Business Practice Location Address City Name:
RALEIGH
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27613-1273
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
919-865-8000
Provider Business Practice Location Address Fax Number:
919-865-8020
Provider Enumeration Date:
08/21/2009

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , with the licence number:  2009-01613 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: NC1052 , issued by the state of ( SC ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2024 www.npivalidator.com