MISS ALEXIS C ALVARADO PA-C NPI 1174861090

NPI Information

NPI: 1174861090
Provider Name: MISS ALEXIS C ALVARADO, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
8687 CONNECTICUT ST
STE D
MERILLVILLE, IL
ZIP 46410
Phone: (219) 750-9630
Get Directions

MISS Alexis C Alvarado, PA-C is a medical physician assistant in Merillville, IL with 12 years of experience. MISS Alexis C Alvarado, PA-C NPI is 1174861090. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8687 CONNECTICUT ST
STE D
MERILLVILLE, IL
ZIP 46410-541
Phone: (219) 750-9630
Fax: (219) 750-9451

The NPI 1174861090 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 1/28/2013 and was last updated on 11/6/2015.

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	363AM0700X	Physician Assistant	Medical	085-004592	ILLINOIS	No
2	363AM0700X	Physician Assistant	Medical	10001662A	INDIANA	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	Other Provider Identifier Issuer
1	201235280	MEDICAID	INDIANA
2	M67796003	MEDICARE PIN	INDIANA

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: 5/5/2024

NPI Synchronization or Removal

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