Individual provider Active NPI

Alfred Lewis Alson, M.D.

  • Surgery Physician
  • Palm Coast, FL
National Provider Identifier
1922088541
Registry record updated Oct 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME 49944 Issued in FL
Practice address
28 Old Kings Rd N
Palm Coast, FL 32137-8226
Phone
(386) 445-0554
Fax
(386) 445-5242
NPI assigned
Jan 19, 2006
Last updated
Oct 6, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME 49944 FL Primary

Addresses

Primary practice location

28 Old Kings Rd N
Palm Coast, FL 32137-8226

Mailing address

28 Old Kings Rd N
Palm Coast, FL 32137-8226
Phone (386) 445-0554

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 49944FLMDSurgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317859200000",
    "number": "1922088541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 OLD KINGS RD N",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321378226",
            "telephone_number": "386-445-0554",
            "fax_number": "386-445-5242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 OLD KINGS RD N",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321378226",
            "telephone_number": "386-445-0554",
            "fax_number": "386-445-5242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALSON",
        "first_name": "ALFRED",
        "middle_name": "LEWIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2011-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME 49944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Coast, FL

Sources for this page

Verify at the official NPI Registry.