Alfred Lewis Alson, M.D.
Individual provider Active NPI Surgery Physician · Palm Coast, FL
NPI 1922088541 · NPPES record last updated Oct 6, 2011
Key facts
- NPI
- 1922088541
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- ME 49944 (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
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 49944 | FL | MD | Surgery Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ME 49944 | FL | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 046653100 | Medicaid | FL |
Other providers in Palm Coast, FL
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- Alliance Taxi and Shuttle, LLC
- Diana Allison
- Almberg Clinics Inc
- Tamira Alston
- Dennis Thomas Alter
- Alternate Home Care Spec. Inc
- Alternate Home Care Specialist, Inc.
- Thomas A Altro
All providers in Palm Coast, FL · Surgery Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 6, 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.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.