NPIMap

Organization Active NPI

Alexander Orlov DO

  • Family Medicine Physician
  • Lufkin, TX
National Provider Identifier
1114167863
Registry record updated Feb 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J4402 Issued in TX
Legal business name
ALEXANDER ORLOV DO
Practice address
710 Gaslight Blvd Ste a
Lufkin, TX 75904-3187
Phone
(936) 632-2468
Fax
(936) 632-0794
NPI assigned
Feb 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2009

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

Authorized official

Name
Alexander Orlov, D.O.NPI 1306852041
Title
Physician
Phone
(936) 632-2468

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X J4402 TX Primary

Addresses

Primary practice location

710 Gaslight Blvd Ste a
Lufkin, TX 75904-3187

Mailing address

710 Gaslight Blvd. Suite a
Lufkin, TX 75904
Phone (936) 632-2468

Other identifiers 2

IdentifierTypeStateIssuer
122107905MedicaidTX
1306852041OtherTXNATIONAL PROVIDERS IDENTIFIER

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1235088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235088000000",
    "number": "1114167863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 GASLIGHT BLVD. SUITE A",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "75904",
            "telephone_number": "936-632-2468",
            "fax_number": "936-632-0794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 GASLIGHT BLVD STE A",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043187",
            "telephone_number": "936-632-2468",
            "fax_number": "936-632-0794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDER ORLOV DO",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-20",
        "last_updated": "2009-02-20",
        "status": "A",
        "authorized_official_last_name": "ORLOV",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "936-632-2468",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J4402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122107905",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL PROVIDERS IDENTIFIER",
            "identifier": "1306852041",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lufkin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2009; 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.