John Alexander
Individual provider Active NPI Medical Physician Assistant · Hanover, MD
NPI 1386090751 · NPPES record last updated May 4, 2016
Key facts
- NPI
- 1386090751
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- Practice address
- 7250 Parkway Dr
Suite 500
Hanover, MD 21076-1388 - Phone
- (443) 949-0814
- NPI assigned
- May 4, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Comprehensive Rehab Consultants PLLC
Mdics at BWMC LLC
Practice addresses (Care Compare)
200 E 16TH St
Frederick, MD 21701-4400
Phone (301) 662-8700
301 Hospital Dr
Glen Burnie, MD 21061-5803
Phone (443) 949-0814
50 Mulberry Tree St
Charles Town, WV 25414-1274
Phone (304) 724-1101
Hospital & facility affiliations
- University of MD Baltimore Washington Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MD, WV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161201000595 | MD | Practitioner - Physician Assistant | 7719267152 | Reassigns benefits to 3 organizations |
| I20260317000996 | WV | Practitioner - Physician Assistant | 7719267152 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3140 | WV | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Rehab Consultants PLLC | Current |
Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
415 W Golf Rd
Ste 26
Arlington Hts, IL 60005
200 E 16th St
Frederick, MD 21701
Phone (301) 662-8700
200 Civic Ave
Salisbury, MD 21804
Phone (410) 749-1466
50 Mulberry Tree St
Charles Town, WV 25414
Phone (304) 262-8686
Interoperability endpoints
- jalexander967769@direct.umm.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | Yes |
Addresses
Primary practice location
7250 Parkway Dr
Suite 500
Hanover, MD 21076-1388
Mailing address
1008 Reed Ave
Franklinville, NJ 08322-3691
Other providers in Hanover, MD
- Nneka Aisida
- Oluwatimilehin Ajulo
- Adejumoke A Akinbobola
- Monisola Bolanle Akintunde
- Edidiong Akpan
- Atina Allamarvdasht
- Joshua Logan Alley
- Alpine Behavioral Health, LLC
- Judeline Altema
- American Homecare Equipment, Inc.
All providers in Hanover, MD · Medical Physician Assistant in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 4, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.