Alonso Escalante, MD
Individual provider Active NPI Specialist · Gunnison, CO
NPI 1609807254 · NPPES record last updated Feb 4, 2014
Key facts
- NPI
- 1609807254
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- E3688 (LA)
- Practice address
- 112 W Spencer Ave
Suite a
Gunnison, CO 81230-2546 - Phone
- (970) 641-6788
- Fax
- (970) 641-0282
- NPI assigned
- Jul 5, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E3688 | LA | MD | Specialist |
| DR-45964 | CO | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alonso Escalante M.D.P.a. | Orthopaedic Surgery | Past |
Accepting new patients |
| Gunnison Valley Hospital | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | DR-45964 | CO | |
| Specialist | 174400000X | E3688 | LA | Yes |
Addresses
Primary practice location
112 W Spencer Ave
Suite a
Gunnison, CO 81230-2546
Mailing address
112 W Spencer Ave
Suite a
Gunnison, CO 81230-2546
Phone (970) 641-6788
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 93683758 | Medicaid | CO | |
| 126165301 | Medicaid | TX | |
| 841522905 | Other | CO | BCBS |
Other names
- Alonso Semerena
Other providers in Gunnison, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 4, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.