Organization Active NPI

Alexander Medical LLC

  • Acute Care Nurse Practitioner
  • Gilbert, AZ
National Provider Identifier
1588068134
Registry record updated Oct 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
Legal business name
ALEXANDER MEDICAL LLC
Practice address
2730 S Val Vista Dr Ste 188
Gilbert, AZ 85295-1684
Phone
(602) 524-8193
Fax
(480) 247-4652
NPI assigned
Oct 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2014

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

Authorized official

Name
Adam Winter
Title
Billing Manager
Phone
(602) 577-8836

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2100X Primary

Addresses

Primary practice location

2730 S Val Vista Dr Ste 188
Gilbert, AZ 85295-1684

Mailing address

21911 E Escalante Rd
Queen Creek, AZ 85142-4589
Phone (602) 524-8193

National Provider Directory

National Provider Directory

Locations

2730 S Val Vista Dr
Ste 188
Gilbert, AZ 85295
Phone (480) 324-0244

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1412899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412899200000",
    "number": "1588068134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21911 E ESCALANTE RD",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851424589",
            "telephone_number": "602-524-8193",
            "fax_number": "480-247-4652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 S VAL VISTA DR STE 188",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852951684",
            "telephone_number": "602-524-8193",
            "fax_number": "480-247-4652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDER MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-10",
        "last_updated": "2014-10-10",
        "status": "A",
        "authorized_official_last_name": "WINTER",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "602-577-8836"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.