Active NPI
Leonardo Lazaro Alonso, D.O.
- Emergency Medicine Physician
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- OS-6584
- Practice address
- 8761 Perimeter Park Blvd Ste 106
Jacksonville, FL 32216-6397 - Phone
- (904) 641-6628
- NPI assigned
- Sep 14, 2006
- Last updated
- Sep 18, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | OS-6584 | FL | Primary |
| Emergency Medicine Physician | 207P00000X | 3206 | WV |
Addresses
Primary practice location
8761 Perimeter Park Blvd Ste 106
Jacksonville, FL 32216-6397
Mailing address
831 Chicopit LN
Jacksonville, FL 32225-4913
Phone (904) 221-8961
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, GA, WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS-6584 | FL | MD | Emergency Medicine Physician |
| 3206 | WV | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charleston Area Medical Center, Inc. | Current | Accepting new patients | |
| Cep America, LLC | Emergency Medicine | Current | Accepting new patients |
| South Georgia Emergency Medicine Associates PC | Emergency Medicine | Current | Accepting new patients |
| Charleston Area Medical Center Inc | Current | Accepting new patients | |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Florida Em-I Medical Services, PA | Emergency Medicine | Past | Accepting new patients |
| Florida Em-I Medical Services, PA | Emergency Medicine | Past | Accepting new patients |
| Florida Em-I Medical Services PA | Emergency Medicine | Past | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663
8083 Parramore Rd
Jacksonville, FL 32244
Phone (904) 450-6760
7800 US Highway 98 W
Miramar Beach, FL 32550
Phone (850) 267-1603
615 N Bonita Ave
Panama City, FL 32401
Phone (850) 747-2020
915 Gordon Ave
Thomasville, GA 31792
Phone (229) 228-8575
2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139
4280 N Valdosta Rd
Valdosta, GA 31602
Phone (229) 433-7350
501 Morris St
Charleston, WV 25301
Phone (304) 348-6293
800 Garfield Ave
Parkersburg, WV 26101
Phone (304) 420-7161
Interoperability endpoints
- lalonso180186@direct.phs.org
- leo.alonso.1@14441.direct.athenahealth.com
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Miramar Beach, FL
- NPI 1295442614
-
- General Acute Care Hospital
- Charleston, WV
- NPI 1124248752
-
- Emergency Medicine Physician
- Thomasville, GA
- NPI 1386903649
-
- Emergency Medicine Physician
- Fort Lauderdale, FL
- NPI 1700747946
-
- Multi-Specialty Clinic/Center
- Belpre, OH
- NPI 1588422547
-
- Nurse Practitioner
- Lighthouse Point, FL
- NPI 1831531581
Emergency Medicine
-
- Emergency Medicine Physician
- Tallahassee, FL
- NPI 1083046049
-
- Emergency Medicine Physician
- Jacksonville, FL
- NPI 1609296011
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1505692800000",
"number": "1518062249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "831 CHICOPIT LN",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322254913",
"telephone_number": "904-221-8961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8761 PERIMETER PARK BLVD STE 106",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322166397",
"telephone_number": "904-641-6628"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALONSO",
"first_name": "LEONARDO",
"middle_name": "LAZARO",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-14",
"last_updated": "2017-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "OS-6584",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WV",
"license": "3206",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.