Adolfo M Alonso, MD PA

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

D16346 Issued in MD

Practice address

11121 York Rd Ste 2
Cockeysville, MD 21030-2006

Phone

(410) 560-5880

Fax

(410) 560-5888

NPI assigned

Jan 30, 2006

Last updated

Oct 19, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other names 1

• A. Miller Alonso Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Physician Assistant

State licenses

Practice roles

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.

• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• University of Maryland Orthopaedic Equipment, LLC

  • Durable Medical Equipment & Medical Supplies
  • Hunt Valley, MD
  • NPI 1194211185
  NPD (past)

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539907200000",
    "number": "1750352555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11121 YORK RD",
            "address_2": "STE 2",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "210302006",
            "telephone_number": "410-560-5880",
            "fax_number": "410-560-5888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11121 YORK RD STE 2",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "210302006",
            "telephone_number": "410-560-5880",
            "fax_number": "410-560-5888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "One Texas Station Court",
            "address_2": "Suite 305",
            "address_purpose": "LOCATION",
            "city": "Timonium",
            "state": "MD",
            "postal_code": "21093",
            "country_code": "US",
            "telephone_number": "410-560-5880",
            "fax_number": "410-560-5888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11121 York Rd",
            "address_purpose": "LOCATION",
            "city": "Cockeysville",
            "state": "MD",
            "postal_code": "210302006",
            "country_code": "US",
            "telephone_number": "410-560-5880",
            "fax_number": "410-560-5888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALONSO",
        "first_name": "ADOLFO",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2018-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0016346",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MD",
            "license": "D16346",
            "primary": true
        },
        {
            "code": "2082S0099X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": "MD",
            "license": "D16346",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "MD",
            "license": "D16346",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "A.",
            "last_name": "ALONSO",
            "middle_name": "MILLER",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Tolulope Ajifowobaje, R.N
• Rabab Al-Amin
• Jean Alano, M.D.
• Alireza S Nejad, MD, PHD LLC (Allergy Immunology Center)
• Kelly Allmon, M.ED, LCPC
• Amanda Younger LCSW-C
• Hiteshi Amin
• Andrew H. Vendelis D.D.S. , PA
• Sarah Elizabeth Andrew, CSC-AD
• Anesthesia Company, LLC

• Plastic Surgery Physician in Cockeysville, MD
• Providers in Cockeysville, MD by specialty
• Plastic Surgery Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2018; 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.