Individual provider Active NPI

Jose Alzadon, M.D.

  • General Practice Physician
  • Mount Sterling, KY
National Provider Identifier
1366612459
Registry record updated Sep 29, 2020
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Jul 20, 2026.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
39571 Issued in KY
Practice address
250 Foxglove Dr Ste 3
Mount Sterling, KY 40353-9770
Phone
(859) 398-8252
NPI assigned
Mar 5, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 39571 KY Primary

Addresses

Primary practice location

250 Foxglove Dr Ste 3
Mount Sterling, KY 40353-9770

Mailing address

250 Foxglove Dr Ste 3
Mount Sterling, KY 40353-9770
Phone (185) 939-8523

Other practice location 1

855 S Mayo Trl
Paintsville, KY 41240-1215
Phone (606) 789-8531

Other practice location 2

826 S Mayo Trl
Paintsville, KY 41240-1384
Phone (859) 398-5235

Other identifiers 1

IdentifierTypeStateIssuer
64108145MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Optimal Health Recovery and Weight Loss LLC General Practice Current Accepting new patients
Medical Imaging Group, LLC PastSince Mar 1, 2016 Accepting new patients

Locations

250 Foxglove Dr
Ste 3
Mt Sterling, KY 40353
Phone (859) 398-8252

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601337600000",
    "number": "1366612459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 FOXGLOVE DR STE 3",
            "city": "MOUNT STERLING",
            "state": "KY",
            "postal_code": "403539770",
            "telephone_number": "185-939-8523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 FOXGLOVE DR STE 3",
            "city": "MOUNT STERLING",
            "state": "KY",
            "postal_code": "403539770",
            "telephone_number": "859-398-8252"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "855 S Mayo Trl",
            "address_purpose": "LOCATION",
            "city": "Paintsville",
            "state": "KY",
            "postal_code": "412401215",
            "country_code": "US",
            "telephone_number": "606-789-8531",
            "fax_number": "606-789-8893",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "826 S Mayo Trl",
            "address_purpose": "LOCATION",
            "city": "Paintsville",
            "state": "KY",
            "postal_code": "412401384",
            "country_code": "US",
            "telephone_number": "859-398-5235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALZADON",
        "first_name": "JOSE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-05",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "KY",
            "license": "39571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64108145",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Sterling, KY

Sources for this page

Verify at the official NPI Registry.