NPIMap

Individual provider Active NPI

Richard Lowell Alexander, MD, PHD, MBA

  • Otolaryngology Physician
  • Oxford, NC
National Provider Identifier
1679890917
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
2015-00290 Issued in NC
Practice address
102 Professional Park Ste C
Oxford, NC 27565-2554
Phone
(919) 692-0003
Fax
(919) 692-0004
NPI assigned
Apr 27, 2010
Last updated
Dec 8, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 2015-00290 NC Primary

Addresses

Primary practice location

102 Professional Park Ste C
Oxford, NC 27565-2554

Mailing address

102 Professional Park Ste C
Oxford, NC 27565-2554
Phone (919) 692-0003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150724010783 NC Practitioner - Otolaryngology 9133432743 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Granville Health IncGroup PAC ID 0840341822, 9 clinicians

Practice addresses (Care Compare)

102 Professional Park
Suite C
Oxford, NC 27565-2554
Phone (919) 692-0003

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2015-00290NCMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Granville Health Inc Current Accepting new patients
Wake Forest University Health Sciences Past Accepting new patients

Locations

102 Professional Park
Ste C
Oxford, NC 27565
Phone (919) 603-0368

Interoperability endpoints

  • Direct secure messaging: richardalexander@gvhs.allscriptsdirect.net

Organizations & group practices 3

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.

Hospital & facility affiliations 9

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": "1272326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1679890917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 PROFESSIONAL PARK STE C",
            "city": "OXFORD",
            "state": "NC",
            "postal_code": "275652554",
            "telephone_number": "919-692-0003",
            "fax_number": "919-692-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 PROFESSIONAL PARK STE C",
            "city": "OXFORD",
            "state": "NC",
            "postal_code": "275652554",
            "telephone_number": "919-692-0003",
            "fax_number": "919-692-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "RICHARD",
        "middle_name": "LOWELL",
        "name_prefix": "Dr.",
        "credential": "MD, PHD, MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-27",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NC",
            "license": "2015-00290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, NC

Sources for this page

Verify at the official NPI Registry.