Alexander C Mbakwem MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME92808 Issued in FL

Legal business name

ALEXANDER C MBAKWEM MD PA

Practice address

5421 S Florida Ave
Lakeland, FL 33813-2523

Phone

(863) 644-9500

Fax

(863) 644-9555

NPI assigned

Feb 7, 2011

Organization subpart

No

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

Authorized official

Name

Alexander C Mbakwem, MDNPI 1780793778

Title

MD, Owner

Phone

(863) 644-9500

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alexander C. Mbakwem, M.D.

  • Internal Medicine Physician
  • Lakeland, FL
  • NPI 1780793778
  Medicare reassignment Care Compare group NPD Authorized official
• Arlene Correa, FNP

  • Family Nurse Practitioner
  • Lakeland, FL
  • NPI 1225680325
  Medicare reassignment Care Compare group NPD
• Hana J. Clements, M.D

  • Internal Medicine Physician
  • Lakeland, FL
  • NPI 1871518381
  NPD (past)

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

{
    "created_epoch": "1297036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297036800000",
    "number": "1972809093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6670 CRESCENT WOODS CIR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338134612",
            "telephone_number": "863-644-9500",
            "fax_number": "863-644-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5421 S FLORIDA AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132523",
            "telephone_number": "863-644-9500",
            "fax_number": "863-644-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDER C MBAKWEM MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-07",
        "last_updated": "2011-02-07",
        "status": "A",
        "authorized_official_last_name": "MBAKWEM",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MD, OWNER",
        "authorized_official_telephone_number": "863-644-9500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME92808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "277193400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crystal Alderman, BCBA
• Richard Frank Alderman, RPH
• Shelva Jean Alderman, LMHC
• Lindsay Aldous, PHARMD
• Carlos Juan Aleman, PHARMD
• Joshua Alexander
• Adalberto Alfonso, MD
• Nadine Alford
• William Mansur Alford, MD
• Ailia Welayat Ali, M.D.

• Internal Medicine Physician in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.