Active NPI
Alexander Michael III, M.D.
- Surgery Physician
- Dayton, OH
National Provider Identifier
1699846089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 35043973
- Practice address
- 1550 Yankee Park PL
Ste a
Dayton, OH 45458-1838 - Phone
- (937) 853-8014
- Fax
- (540) 684-6181
- NPI assigned
- Nov 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 35043973 | OH | Primary |
Addresses
Primary practice location
1550 Yankee Park PL
Ste a
Dayton, OH 45458-1838
Mailing address
1550 Yankee Park PL
Ste a
Dayton, OH 45458-1838
Phone (937) 853-8014
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0550985 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35043973 | OH | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1497830400000",
"number": "1699846089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1550 YANKEE PARK PL",
"address_2": "STE A",
"city": "DAYTON",
"state": "OH",
"postal_code": "454581838",
"telephone_number": "937-853-8014",
"fax_number": "540-684-6181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1550 YANKEE PARK PL",
"address_2": "STE A",
"city": "DAYTON",
"state": "OH",
"postal_code": "454581838",
"telephone_number": "937-853-8014",
"fax_number": "540-684-6181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHAEL",
"first_name": "ALEXANDER",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-10",
"last_updated": "2017-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OH",
"license": "35043973",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0550985",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.