Oswald Junior Alphonse, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9104344 Issued in FL

Practice address

3801 S Kanner Hwy Ste 200
Stuart, FL 34994-4801

Phone

(772) 223-4978

Fax

(772) 223-2847

NPI assigned

Sep 12, 2007

Last updated

Oct 9, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Palm Beach General Surgery LLCGroup PAC ID 1456455021, 69 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Lucie Medical Center Hospital, Port Saint Lucie, FL, CCN 100260

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Networks

• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: oalphonse6400@direct.martinhealth.org
• Direct secure messaging: oswald.alphonse@hca4.eclinicaldirectplus.com

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.

• Palm Beach General Surgery LLC

  • Surgery Physician
  • Loxahatchee, FL
  • NPI 1235326760
  Medicare reassignment Care Compare group NPD
• Avron H Lipschitz MD Plastic Surgery LLC

  dba Athena Plastic Surgery

  • Plastic Surgery Physician
  • Stuart, FL
  • NPI 1235410549
  Medicare reassignment
• Coastal Care Corporation

  dba Cleveland Clinic Imaging

  • Radiology Clinic/Center
  • Port St Lucie, FL
  • NPI 1558320556
  NPD (past)
• Memorial Hospital Flagler Inc

  dba AdventHealth Palm Coast

  • General Acute Care Hospital
  • Palm Coast, FL
  • NPI 1679678486
  NPD (past)
• Memorial Hospital Flagler Inc.

  dba AdventHealth Medical Group

  • Multi-Specialty Clinic/Center
  • Palm Coast, FL
  • NPI 1558530600
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• HCA Health Services of Florida, Inc.

  dba HCA Florida St. Lucie Hospital

  • General Acute Care Hospital
  • Port St Lucie, FL
  • NPI 1538115696
  Care Compare affiliation

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602201600000",
    "number": "1750576617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 417",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349950417",
            "telephone_number": "772-223-2832",
            "fax_number": "772-223-2847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 S KANNER HWY STE 200",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349944801",
            "telephone_number": "772-223-4978",
            "fax_number": "772-223-2847"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 SE Hospital Ave",
            "address_purpose": "LOCATION",
            "city": "Stuart",
            "state": "FL",
            "postal_code": "349942346",
            "country_code": "US",
            "telephone_number": "772-223-4978",
            "fax_number": "772-223-2847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALPHONSE",
        "first_name": "OSWALD",
        "middle_name": "JUNIOR",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-12",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9104344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "293039100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL BLUE",
            "identifier": "Y02YX",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "oalphonse6400@direct.martinhealth.org",
            "affiliation": "N",
            "address_1": "3801 S Kanner Hwy Ste 200",
            "city": "Stuart",
            "state": "FL",
            "country_code": "US",
            "postal_code": "349944801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Bailey K Alofs, PA
• Katie Cleary Alonso, M.D.
• Pedro A Alonso, MD
• Abdullah Alotaibi
• Ana Milena Alphonse, ARNP
• Jacqueline Alquiza, PTA
• Colin Avery Alred
• Cierra Monet Alston
• Marcus Alston
• Sydney Alt

• Physician Assistant in Stuart, FL
• Providers in Stuart, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.