Provider Demographics
NPI:1548342819
Name:GERALD J. ALEXANDER ORTHOPAEDIC SURGERY INC.
Entity type:Organization
Organization Name:GERALD J. ALEXANDER ORTHOPAEDIC SURGERY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GERALD
Authorized Official - Middle Name:J
Authorized Official - Last Name:ALEXANDER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-639-3780
Mailing Address - Street 1:2617 E CHAPMAN AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92869-3222
Mailing Address - Country:US
Mailing Address - Phone:714-639-3780
Mailing Address - Fax:
Practice Address - Street 1:2617 E CHAPMAN AVE STE 201
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92869-3222
Practice Address - Country:US
Practice Address - Phone:714-639-3780
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-19
Last Update Date:2010-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the SpineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAW18848OtherMEDICARE GROUP ID