Dr. T. Alexander

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

34002510 Issued in OH

Legal business name

DR. T. ALEXANDER

Practice address

4129 Pebble Beach Dr
Canfield, OH 44406-9527

Phone

(330) 758-4515

Fax

(330) 758-5121

NPI assigned

Apr 26, 2006

Organization subpart

No

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

Authorized official

Name

Susan Cerimele

Title

Billing Department

Phone

(330) 758-4515

Specialties & licenses 1

Addresses

Practitioners 1

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

• Theodore J Alexander, DO

  • Internal Medicine Physician
  • Canfield, OH
  • NPI 1053302877
  NPD (past)

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679530414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4129 PEBBLE BEACH DR",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444069527",
            "telephone_number": "330-758-4515",
            "fax_number": "330-758-5121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4129 PEBBLE BEACH DR",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444069527",
            "telephone_number": "330-758-4515",
            "fax_number": "330-758-5121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. T. ALEXANDER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CERIMELE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "BILLING DEPARTMENT",
        "authorized_official_telephone_number": "330-758-4515"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "OH",
            "license": "34002510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Canfield, OH
• Providers in Canfield, OH by specialty
• General Practice Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.