NPIMap

Organization Active NPI

Alexander Medical Group LLC

Doing business as Alexander Orthopaedic Associates

  • Orthopaedic Surgery Physician
  • Largo, FL
National Provider Identifier
1265453286
Registry record updated Sep 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
ME 77329 Issued in FL
Legal business name
ALEXANDER MEDICAL GROUP LLC
Doing business as
Alexander Orthopaedic Associates
Practice address
12416 66TH Street N
Suite a
Largo, FL 33773-3437
Phone
(727) 547-4700
Fax
(727) 394-8661
NPI assigned
Jul 22, 2006
Last updated
Sep 19, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2018

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

Authorized official

Name
Sherry Jackasal-Labonte
Title
Office Manager
Phone
(727) 547-4700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207X00000X ME 77329 FL Primary

Addresses

Primary practice location

12416 66TH Street N
Suite a
Largo, FL 33773-3437

Mailing address

12416 66TH St
Largo, FL 33773-3437
Phone (727) 547-4700

Other names 1

  • Alexander Orthopaedic Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050808000162 FL Part B Supplier - Clinic/Group Practice 0547299836 Receives reassigned benefits from 38 practitioners
Practice locations: Englewood, FL; Largo, FL; New Port Richey, FL; Palm Harbor, FL; Sarasota, FL; St. Petersburg, FL
O20100930030194 FL DME Supplier - Physician - Orthopedic/Orthopedic Surgery 0547299836 Practice locations: Largo, FL

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

12416 66th St
Ste A
Largo, FL 33773
Phone 7275474700112

2114 Seven Springs Blvd
Ste 25
New Port Richey, FL 34655

1325 Belcher Rd
Palm Harbor, FL 34683
Phone (816) 500-0021

5911 N Honore Ave
Sarasota, FL 34243
Phone (941) 355-3223

5911 N Honore Ave
Ste 120
Sarasota, FL 34243
Phone (941) 355-3223

1609 Pasadena Ave S
Ste 4E
South Pasadena, FL 33707

Practitioners & affiliated clinicians

Practitioners 39

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.

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537315200000",
    "number": "1265453286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12416 66TH ST",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337733437",
            "telephone_number": "727-547-4700",
            "fax_number": "727-394-8661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12416 66TH STREET N",
            "address_2": "SUITE A",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337733437",
            "telephone_number": "727-547-4700",
            "fax_number": "727-394-8661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDER MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2018-09-19",
        "status": "A",
        "authorized_official_last_name": "JACKASAL-LABONTE",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "727-547-4700"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME 77329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alexander Orthopaedic Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Alexander Orthopaedic Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.