Active NPI
Alfonso C McDonald, CHE, PL
- Pathology Technician
- Orlando, FL
National Provider Identifier
1982797056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pathology Technician
- Practice address
- 3388 Landtree Cir
Orlando, FL 32812-5959 - Phone
- (352) 978-0652
- Fax
- (407) 381-5657
- NPI assigned
- Oct 2, 2006
- Last updated
- Jul 8, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pathology Technician | 246R00000X | NU | Primary |
Addresses
Primary practice location
3388 Landtree Cir
Orlando, FL 32812-5959
Mailing address
3388 Landtree Cir
Orlando, FL 32812-5959
Phone (352) 978-0652
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1982797056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3388 LANDTREE CIR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328125959",
"telephone_number": "352-978-0652",
"fax_number": "407-381-5657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3388 LANDTREE CIR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328125959",
"telephone_number": "352-978-0652",
"fax_number": "407-381-5657"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "ALFONSO",
"middle_name": "C",
"name_prefix": "Mr.",
"credential": "CHE, PL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "246R00000X",
"taxonomy_group": "",
"desc": "Technician, Pathology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.