Alexco, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

ALEXCO, INC.

Practice address

1001 Walton Way
Augusta, GA 30901-2841

Phone

(706) 434-0129

Fax

(706) 305-1277

NPI assigned

Apr 14, 2010

Organization subpart

No

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

Authorized official

Name

Mr. David Allen Alexander, C.PED

Title

Owner

Phone

(706) 434-0129

Specialties & licenses 1

Addresses

Other names 1

• Southern Comfort Shoes and Pedorthic Services Other name

Locations

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

{
    "created_epoch": "1271203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459209600000",
    "number": "1194041228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 WALTON WAY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012841",
            "telephone_number": "706-434-0129",
            "fax_number": "706-305-1277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 WALTON WAY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012841",
            "telephone_number": "706-434-0129",
            "fax_number": "706-305-1277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXCO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-14",
        "last_updated": "2016-03-29",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-434-0129",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.PED"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Comfort Shoes and Pedorthic Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Amanda Alexander, NP
• Arvin Alexander, DMD
• Cassie Alexander, ACNP
• Zoe Alexander
• Maya Alexandri, MD
• Ellyn Elizabeth Algarin, RN
• Fareed Alghamdi
• Hiba Abubakr Altahir Ali, MBBS
• Kashif Ali, M.D.
• Muhammad Salman Ali, M.D.

• All providers in Augusta, GA
• Prosthetic/Orthotic Supplier in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2016; 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.