PC Alexander,M.D.,Inc

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

01033461A Issued in IN

Legal business name

PC ALEXANDER,M.D.,INC

Practice address

3611 S Reed Rd Ste 108
Kokomo, IN 46902-3828

Phone

(765) 864-5730

Fax

(765) 864-5731

NPI assigned

Dec 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Panos Alexander, M.D.NPI 1083687016

Title

Surgeon

Phone

(765) 864-5730

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Panos C Alexander, M.D.

  • Surgery Physician
  • Kokomo, IN
  • NPI 1083687016
  NPD (past) Authorized official

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1992988976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3611 S REED RD STE 108",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469023828",
            "telephone_number": "765-864-5730",
            "fax_number": "765-864-5731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3611 S REED RD STE 108",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469023828",
            "telephone_number": "765-864-5730",
            "fax_number": "765-864-5731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PC ALEXANDER,M.D.,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-12",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "PANOS",
        "authorized_official_title_or_position": "SURGEON",
        "authorized_official_telephone_number": "765-864-5730",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "IN",
            "license": "01033461A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100187200B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Kokomo, IN
• Providers in Kokomo, IN by specialty
• Surgery Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.