DR. EDWARD JOHN ALFREY M.D. NPI 1992773311

NPI Information

NPI: 1992773311
Provider Name: DR. EDWARD JOHN ALFREY, M.D.
Classification: Transplant Surgery - 204F00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
751 N RUTLEDGE ST
ROOM 1700
SPRINGFIELD, IL
ZIP 62702
Phone: (217) 545-5878
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DR. Edward John Alfrey, M.D. is a transplant surgery in Springfield, IL with 40 years of experience. The provider is a surgeon who specializes in transplant surgery. Source: National Uniform Claim Committee DR. Edward John Alfrey, M.D. NPI is 1992773311. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF COLORADO SCHOOL OF MEDICINE, DENVER
Graduation Year:1984

The provider's business location address is:

751 N RUTLEDGE ST
ROOM 1700
SPRINGFIELD, IL
ZIP 62702-909
Phone: (217) 545-5878
Fax: (217) 545-1793

The NPI 1992773311 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/10/2006 and was last updated on 9/8/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	204F00000X	Transplant Surgery		036-114340	ILLINOIS	No
2	204F00000X	Transplant Surgery		G72742	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	F04534	MEDICARE UPIN
2	F04534	MEDICARE UPIN	ILLINOIS
3	036114340	MEDICAID	ILLINOIS
4	K22727	MEDICARE PIN	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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