ALFONSO ACOSTA MD PC (NPI# 1184881971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184881971 |
| Entity Type | Organization |
| Organization Name | ALFONSO ACOSTA MD PC |
| Practice Address |
7173 Ilanaway Dr W Bloomfield MI 48324-2493 |
| Mailing Address |
Po Box 250433 W Bloomfield MI 48325-0433 |
| Practice Telephone | 5869290842 |
| Practice Fax Number | 2483660065 |
| Mailing Telephone | 5869290842 |
| Mailing Fax Number | 2483660065 |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2008-05-20 |
| Authorized Official Name | DR. ALFONSO ACOSTA (PRESIDENT) |
| Authorized Official Telephone | 5869290842 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 4301064369 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | P00193884 | 01 | |
| MI | 103522994 | 05 | |
| BCBSM | 1106335602 | 01 |
| Street Address |
7173 ILANAWAY DR |
| City | W BLOOMFIELD |
| State | MI |
| Zip Code | 48324-2493 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902325293 | Sparr Nutrition Services LLC | Dietitian, Registered | 1957 Midchester Drive, Westbloomfield, MI 48324 | 2017-09-18 |
| 1700308632 | Jennifer Dulchavsky | Counselor | 3538 Winterberry, West Bloomfield, MI 48324 | 2017-07-12 |
| 1659641645 | Neogenomics Laboratories Inc | Pathology | 6455 Mission, West Bloomfield, MI 48324 | 2012-01-06 |
| 1538495551 | Joseph S. Dulka | Psychiatry & Neurology | 3573 Elder Rd S., West Bloomfield, MI 48324 | 2009-10-27 |
| 1700041928 | Allan Jay Levine | Pathology | 2268 Forest Glen Dr, West Bloomfield, MI 48324 | 2008-07-28 |
| 1952561706 | Deepika Aggarwal | Dentist | 6259 Willow Ct, West Bloomfield, MI 48324 | 2008-06-16 |
| 1366627358 | Tatyana Kuzminsky | Nutritionist | 2486 Island View Dr, West Bloomfield, MI 48324 | 2008-01-08 |
| 1053407742 | Katherine Ann Young | Psychologist | 1943 Windside, West Bloomfield, MI 48324 | 2006-10-04 |
| 1942441142 | Patricia L Denham | Social Worker | 1916 Henbert Rd, West Bloomfield, MI 48324-1036 | 2009-03-18 |
| 1972547826 | Howard Rosenberg | Chiropractor | 2081 Hiller Rd, West Bloomfield, MI 48324-1136 | 2006-06-15 |
| Find all providers in zip 48324 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518354745 | Kelly M Hefferon Do PC | General Practice | 5114 Shenandoah Ct, W Bloomfield, MI 48323-2343 | 2015-04-27 |
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| 1245739903 | Breanna Lee Brookens | General Practice | 1531 Barnard St, Saginaw, MI 48602-4902 | 2018-02-08 |
| Find all providers with the same taxonomy | ||||
| City | W BLOOMFIELD |
| Zip Code | 48324 |
Please comment or provide details below to improve the information on ALFONSO ACOSTA MD PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.