Organization Active NPI

Alex Endocrine Associates, PA

  • Endocrinology, Diabetes & Metabolism Physician
  • Rogers, AR
National Provider Identifier
1922296359
Registry record updated Nov 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
E-4690 Issued in AR
Legal business name
ALEX ENDOCRINE ASSOCIATES, PA
Practice address
593 Horsebarn Rd
Suite 203
Rogers, AR 72758-8795
Phone
(479) 845-4707
Fax
(479) 845-4708
NPI assigned
Oct 10, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Nadine Helen Alex, M.D.
Title
President
Phone
(479) 845-4707

National Provider Directory

National Provider Directory

Locations

593 S Horsebarn Rd
Ste 203
Rogers, AR 72758
Phone (479) 845-4707

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X E-4690 AR Primary

Addresses

NPPES NPI Registry

Primary practice location

593 Horsebarn Rd
Suite 203
Rogers, AR 72758-8795

Mailing address

593 Horsebarn Rd
Suite 203
Rogers, AR 72758-8795
Phone (479) 845-4707

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
5F894OtherPTAN

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 2, 2011.

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320192000000",
    "number": "1922296359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "593 HORSEBARN RD",
            "address_2": "SUITE 203",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588795",
            "telephone_number": "479-845-4707",
            "fax_number": "479-845-4708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "593 HORSEBARN RD",
            "address_2": "SUITE 203",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588795",
            "telephone_number": "479-845-4707",
            "fax_number": "479-845-4708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEX ENDOCRINE ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-10",
        "last_updated": "2011-11-02",
        "status": "A",
        "authorized_official_last_name": "ALEX",
        "authorized_official_first_name": "NADINE",
        "authorized_official_middle_name": "HELEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "479-845-4707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "AR",
            "license": "E-4690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "5F894",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.