Provider Demographics
NPI:1144302951
Name:ALEXANDER, ALLISON (MD)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1195 PINEVIEW DR STE 2
Mailing Address - Street 2:
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26505-3461
Mailing Address - Country:US
Mailing Address - Phone:304-285-5505
Mailing Address - Fax:304-285-5504
Practice Address - Street 1:1195 PINEVIEW DR STE 2
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26505-3461
Practice Address - Country:US
Practice Address - Phone:304-285-5505
Practice Address - Fax:304-285-5504
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-20
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV21349207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV3810001971Medicaid
H03247Medicare UPIN