Organization Active NPI

Dan G Alexander MD

  • Internal Medicine Physician
  • Atlasburg, PA
National Provider Identifier
1770742033
Registry record updated Jun 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD041486E Issued in PA
Legal business name
DAN G ALEXANDER MD
Practice address
1569 Smith Township State Road
Suite 6
Atlasburg, PA 15004
Phone
(724) 947-5535
Fax
(724) 947-5530
NPI assigned
Jun 3, 2008
Last updated
Jun 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2008

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

Authorized official

Name
Dr. Dan G Alexander, MDNPI 1053385955
Title
Owner
Phone
(724) 947-5535

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X MD041486E PA Primary

Addresses

Primary practice location

1569 Smith Township State Road
Suite 6
Atlasburg, PA 15004

Mailing address

1569 Smith Township State Road
Suite 6
Atlasburg, PA 15004
Phone (724) 947-5535

Other identifiers 5

IdentifierTypeStateIssuer
9689538OtherPACIGNA HEALTHCARE
183553OtherPAUNISON HEALTH PLAN
411189OtherPAUPMC HEALTH PLAN
1016420650001MedicaidPA
1824674OtherPAHIGHMARK BLUE CROSS BLUE SHIELD

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D1051585Dan G Alexander MD1569 Smith Township State Road Suite 6, Atlasburg, PA 15004Certificate of waiverMar 6, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212451200000",
    "number": "1770742033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1569 SMITH TOWNSHIP STATE ROAD",
            "address_2": "SUITE 6",
            "city": "ATLASBURG",
            "state": "PA",
            "postal_code": "15004",
            "telephone_number": "724-947-5535",
            "fax_number": "724-947-5530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1569 SMITH TOWNSHIP STATE ROAD",
            "address_2": "SUITE 6",
            "city": "ATLASBURG",
            "state": "PA",
            "postal_code": "15004",
            "telephone_number": "724-947-5535",
            "fax_number": "724-947-5530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAN G ALEXANDER MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-03",
        "last_updated": "2008-06-03",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "DAN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-947-5535",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD041486E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHCARE",
            "identifier": "9689538",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON HEALTH PLAN",
            "identifier": "183553",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC HEALTH PLAN",
            "identifier": "411189",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1016420650001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE CROSS BLUE SHIELD",
            "identifier": "1824674",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlasburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.