Alexandria Surgery
Organization Active NPI Medical Specialty Clinic/Center · Alexandria, LA
NPI 1811277205 · NPPES record last updated Aug 17, 2011
Key facts
- NPI
- 1811277205
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Medical Specialty Clinic/Center 261QM2500X
- License
- 020633 (LA)
- Legal business name
- ALEXANDRIA SURGERY
- Practice address
- 2129 Jackson St
Alexandria, LA 71301-6444 - Phone
- (318) 448-7063
- Fax
- (318) 448-7395
- NPI assigned
- Aug 17, 2011
- Organization subpart
- No
Authorized official
- Name
- Dr. John Michael McGinity, MD
- Title
- Owner
- Phone
- (318) 448-7063
Practitioners 1
-
John Michael McGinity, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111207000682 | LA | Part B Supplier - Clinic/Group Practice | 3971778655 |
Receives reassigned benefits from 1 practitioner Practice locations: Alexandria, LA |
National Provider Directory
Locations
2129 Jackson St
Alexandria, LA 71301
Phone (318) 448-7063
Interoperability endpoints
- https://api.platform.athenahealth.com/4364/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | 020633 | LA | Yes |
Addresses
Primary practice location
2129 Jackson St
Alexandria, LA 71301-6444
Mailing address
2129 Jackson St
Alexandria, LA 71301-6444
Phone (318) 448-7063
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982377 | Medicaid | LA |
Other providers in Alexandria, LA
- Alexandria Primary Care Clinic
- Alexandria Rehabilitation , LLC
- Alexandria Rheumatology, LLC
- Alexandria Smile Center LLC
- Alexandria Spine & Rehab Center LLC
- Alexandria Urology Associates LLP
- Alexandria Womens Center a Medical
- Sara Alford
- Hebah Alfraihat
- Thomas Bryce Alger
All providers in Alexandria, LA · Medical Specialty Clinic/Center in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 17, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.