Elisha Alexander, IDC US NAVY

Primary specialty

Independent Duty CorpsmanTaxonomy code 1710I1002X

Practice address

1959 Morris St
Suite 120 BLDG Z101
Norfolk, VA 23511-3427

Phone

(757) 443-0002

Fax

(757) 443-5607

NPI assigned

Jun 23, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093741993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 RENFREW ST",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234648915",
            "telephone_number": "757-467-0561",
            "fax_number": "757-443-5706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1959 MORRIS ST",
            "address_2": "SUITE 120 BLDG Z101",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235113427",
            "telephone_number": "757-443-0002",
            "fax_number": "757-443-5607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "ELISHA",
        "credential": "IDC US NAVY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa L. Alcox, PA
• Tracy M Alderson, M.D.
• Anthony Taylor Alerre, MD
• Alexander Morning LLC
• Burton F Alexander III, MD
• Horace Danny Alexander, BS PHARMACY
• Roycinda Cardella Alexander
• Sydney N Alexander, PA
• Alfa Medical Supplies LLC
• Marzetta Alford, CCC-SLP

• Independent Duty Corpsman in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Independent Duty Corpsman in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.