Active NPI
Adam Ross Alexander, D.O.
- Emergency Medicine Physician
- Sturgeon Bay, WI
National Provider Identifier
1497250385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 1497250385
- Practice address
- 323 S 18TH Ave
Sturgeon Bay, WI 54235-1401 - Phone
- (920) 743-5566
- NPI assigned
- Mar 24, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 1497250385 | WI | Primary |
Addresses
Primary practice location
323 S 18TH Ave
Sturgeon Bay, WI 54235-1401
Mailing address
323 S 18TH Ave
Sturgeon Bay, WI 54235-1401
Phone (920) 743-5566
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210723001830 | WI | Practitioner - Emergency Medicine | 8224385703 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
323 S 18TH Ave
Sturgeon Bay, WI 54235-1401
Phone (920) 743-5566
Hospital & facility affiliations
- Door County Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1497250385 | WI | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Door County Memorial Hospital | Current | Accepting new patients | |
| Door County Memorial Hospital | Current | Accepting new patients |
Locations
323 S 18th Ave
Sturgeon Bay, WI 54235
Phone (920) 743-5566
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.
-
- Rural Health Clinic/Center
- Sturgeon Bay, WI
- NPI 1326748104
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625702400000",
"number": "1497250385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "323 S 18TH AVE",
"city": "STURGEON BAY",
"state": "WI",
"postal_code": "542351401",
"telephone_number": "920-743-5566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "323 S 18TH AVE",
"city": "STURGEON BAY",
"state": "WI",
"postal_code": "542351401",
"telephone_number": "920-743-5566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALEXANDER",
"first_name": "ADAM",
"middle_name": "ROSS",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-24",
"last_updated": "2021-07-08",
"certification_date": "2021-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WI",
"license": "1497250385",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sturgeon Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.