Alpha Physicians, PLLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ALPHA PHYSICIANS, PLLC

Practice address

30808 Island Dr
Gibraltar, MI 48173-9547

Phone

(734) 250-7377

Fax

(734) 284-6889

NPI assigned

Dec 4, 2007

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Tim Charles DesanoNPI 1356578108

Title

Administrator

Phone

(734) 250-7377

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tim Charles Desano

  • Contractor
  • Gibraltar, MI
  • NPI 1356578108
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1023290780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30808 ISLAND DR",
            "city": "GIBRALTAR",
            "state": "MI",
            "postal_code": "481739547",
            "telephone_number": "734-250-7377",
            "fax_number": "734-284-6889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30808 ISLAND DR",
            "city": "GIBRALTAR",
            "state": "MI",
            "postal_code": "481739547",
            "telephone_number": "734-250-7377",
            "fax_number": "734-284-6889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA PHYSICIANS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-04",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DESANO",
        "authorized_official_first_name": "TIM",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "734-250-7377",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "OP53240",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katie Achilli
• Karlie Rose Arp
• Adam Robert Blanton, FNP-C
• Brooke Meade Bonham, PHARM D
• Douglas Booker, RPH
• William Cain

• Home Health Agency in Gibraltar, MI
• Providers in Gibraltar, MI by specialty
• Home Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.