DR. ERNESTO ALONSO (NPI# 1396170601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396170601 |
| Entity Type | Individual |
| Full Name | DR. ERNESTO ALONSO |
| Credential | MD |
| Practice Address |
426 Sw Commerce Dr Ste 101 Lake City FL 32025-1506 |
| Practice Telephone | 3053436831 |
| Mailing Telephone | 3862885311 |
| Mailing Fax Number | 3862880058 |
| Enumeration Date | 2013-09-05 |
| Last Update Date | 2018-10-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
04-40017 | KS | Allopathic & Osteopathic Physicians |
| Y | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
ME135763 | FL | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 018577 | PR | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 426 Sw Commerce Dr Ste 101, Lake City, FL 320251506 | 3053436831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801319124 | Ernesto Alonso | Community/Behavioral Health | 325 W Hospitality Ln Ste 104, San Bernardino, CA 92408-3210 | 2017-07-18 |
| Street Address |
426 SW COMMERCE DR STE 101 |
| City | LAKE CITY |
| State | FL |
| Zip Code | 32025-1506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851916209 | North Florida Neurodiagnostics, LLC | Psychiatry & Neurology | 426 Sw Commerce Dr Ste 101, Lake City, FL 32025-1506 | 2020-06-11 |
| 1205327939 | Neurology Center of North Florida, LLC | Clinic/Center | 426 Sw Commerce Dr Ste 101, Lake City, FL 32025-1506 | 2018-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801438353 | Jennifer Bennett | Pharmacist | 347 Sw Main Blvd Suite 102, Lake City, FL 32025 | 2019-10-16 |
| 1700352838 | Robert J Sansouci IIi IIi | Physical Therapy Assistant | 560 Sw Mcfarlane Ave, Lake City, Fl, 32025, Lake City, FL 32025 | 2018-10-16 |
| 1316442783 | Emily Bailey | Developmental Therapist | 2126 Sw Sisters Welcome Rd, Lake City, FL 32025 | 2018-03-28 |
| 1811446370 | Michelle Hart | Behavioral Analyst | 260 S. Marion Avenue, Bldg. A, Suite 135, Lake City, FL 32025 | 2016-09-26 |
| 1922467646 | Irene Aponte Moreno | Nurse Practitioner | 440 Sw Perimeter Glen, Lake City, FL 32025 | 2016-02-23 |
| 1093186777 | Decarlos Scippio | Counselor | 619 Sw Baya Drive Suite 102, Lake City, FL 32025 | 2015-10-07 |
| 1497132476 | Jamecia Legree | Registered Nurse | 800 Sw Symphony Loop, Bldg 15 Apt 204, Lake City, FL 32025 | 2015-04-29 |
| 1306249149 | Mercy Home Assisted Living Facility LLC | Assisted Living Facility | 184 S.e. Beech Street, Lake City, FL 32025 | 2014-10-08 |
| 1598174344 | Karen Mcdonald | Developmental Therapist | 4523 Se County Road 252, Lake City, FL 32025 | 2014-08-06 |
| 1275944126 | Mohammad Ali Faisal Mdpa | Specialist | 1283 Sw State Rd 47, Ste 104, Lake City, FL 32025 | 2014-05-14 |
| Find all providers in zip 32025 | ||||
| Taxonomy Code | 2084N0600X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Clinical Neurophysiology |
| Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS). |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548879364 | Emerald Intraoperative Neuromonitoring, LLC | Psychiatry & Neurology | 7643 Gate Pkwy # 104-983, Jacksonville, FL 32256-2893 | 2020-07-28 |
| 1457722928 | Lobar Medical Pa | Psychiatry & Neurology | 24044 Integrity Way, Sorrento, FL 32776-9353 | 2015-10-09 |
| 1154671022 | Arthur J. Pedregal Md Pa | Psychiatry & Neurology | 4710 N Habana Ave Ste 303, Tampa, FL 33614-7151 | 2012-09-18 |
| 1316246796 | Doctors Neurological Services of Ft Lauderdale Inc | Psychiatry & Neurology | 1452 N Us Highway 1, Suite 103, Ormond Beach, FL 32174-6638 | 2011-03-24 |
| 1326343625 | Ellen I Edgar | Psychiatry & Neurology | 26 Diplomat Pkwy, Ste Cu-3, Hallandale Beach, FL 33009-3721 | 2011-01-18 |
| 1992962161 | Sergio Levi-minzi | Psychiatry & Neurology | 805 Niemen Dr, Palm Beach Gardens, FL 33410-2161 | 2008-05-16 |
| 1184672701 | Damon R Salzman | Psychiatry & Neurology | 12596 Pines Blvd, Pembroke Pines, FL 33027-1766 | 2006-05-05 |
| 1972569291 | Edwin Nelson Peguero Rivera | Psychiatry & Neurology | 4714 N Armenia Ave Ste 202, Tampa, FL 33603-2603 | 2006-04-25 |
| 1821647769 | Neuroclinics, LLC | Psychiatry & Neurology | 9360 Sw 72nd St, Ste 205b, Miami, FL 33173 | 2019-09-04 |
| 1437688033 | Partners Neurodiagnostics LLC | Psychiatry & Neurology | 4726 N Habana Ave Ste 100, Tampa, FL 33614-7144 | 2017-06-07 |
| Find all providers with the same taxonomy | ||||
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| 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.