Active NPI
Alan Edwin Siroy, M.D., M.P.H.
- Dermatopathology (Pathology) Physician
- Gainesville, FL
National Provider Identifier
1831395987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatopathology (Pathology) Physician
- License
- ME132575
- Practice address
- 1601 SW Archer Rd
Gainesville, FL 32608-1197 - Phone
- (352) 548-6607
- NPI assigned
- Jun 25, 2007
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Microbiology Physician | 207ZM0300X | 55785 | MN | |
| Medical Microbiology Physician | 207ZM0300X | 106209 | MN | |
| Dermatopathology (Pathology) Physician | 207ZD0900X | ME132575 | FL | Primary |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 57.014310 | OH |
Addresses
Primary practice location
1601 SW Archer Rd
Gainesville, FL 32608-1197
Mailing address
2725 SW 121St Way
Gainesville, FL 32608-0142
Phone (618) 203-6584
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| JA168A | Other | FL | MEDICARE |
| 021284300 | Medicaid | FL |
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 |
|---|---|---|---|
| 55785 | MN | MD | Medical Microbiology Physician |
| 57.014310 | OH | MD | Anatomic Pathology & Clinical Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1831395987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2725 SW 121ST WAY",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326080142",
"telephone_number": "618-203-6584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 SW ARCHER RD",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326081197",
"telephone_number": "352-548-6607"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIROY",
"first_name": "ALAN",
"middle_name": "EDWIN",
"name_prefix": "Dr.",
"credential": "M.D., M.P.H.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-25",
"last_updated": "2023-11-27",
"certification_date": "2023-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "207ZM0300X",
"taxonomy_group": "",
"desc": "Pathology, Medical Microbiology",
"state": "MN",
"license": "55785",
"primary": false
},
{
"code": "207ZM0300X",
"taxonomy_group": "",
"desc": "Pathology, Medical Microbiology",
"state": "MN",
"license": "106209",
"primary": false
},
{
"code": "207ZD0900X",
"taxonomy_group": "",
"desc": "Pathology, Dermatopathology",
"state": "FL",
"license": "ME132575",
"primary": true
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "OH",
"license": "57.014310",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "JA168A",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "021284300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.