LARRY D ALEXANDER (NPI# 1629092424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629092424 |
| Entity Type | Individual |
| Full Name | LARRY D ALEXANDER |
| Credential | P.A. |
| Practice Address |
1221 Sixth St Ste 300 Traverse City MI 49684-2360 |
| Mailing Address |
4045 W Royal Dr Traverse City MI 49684-8965 |
| Practice Telephone | 2319352400 |
| Practice Fax Number | 2313922424 |
| Mailing Telephone | 2319350900 |
| Mailing Fax Number | 2319350308 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2019-07-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
5601004425 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4045 W Royal Dr, Traverse City, MI 496848965 | 2319350900 | 2319350308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497757850 | Larry P Alexander | Ophthalmology | 5125 Fairmont Pkwy, Pasadena, TX 77505-3727 | 2005-08-15 |
| 1730253725 | Larry C Alexander | Specialist | 305 S State St, Aberdeen, SD 57401-4527 | 2006-11-20 |
| 1780767517 | Larry L Alexander | Emergency Medicine | 303 North Clyde Morris Blvd, Halifax Health Medical Center, Daytona Beach, FL 32114-2709 | 2006-10-23 |
| 1316029721 | Larry A Alexander | Counselor | 1220 E Home Rd, Springfield, OH 45503-2728 | 2006-10-19 |
| Street Address |
1221 SIXTH ST STE 300 |
| City | TRAVERSE CITY |
| State | MI |
| Zip Code | 49684-2360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518962026 | Thomas Carll Schermerhorn | Neurological Surgery | 1221 Sixth St Ste 300, Traverse City, MI 49684 | 2005-06-21 |
| 1508389354 | Christian Arthur Schultz | Nurse Practitioner | 1221 Sixth St Ste 300, Traverse City, MI 49684 | 2017-07-24 |
| 1336591478 | Aimee Hennessy | Nurse Practitioner | 1221 Sixth St Ste 300, Traverse City, MI 49684-2360 | 2016-07-12 |
| 1558717330 | Annmarie D Egan | Nurse Practitioner | 1221 Sixth St Ste 300, Traverse City, MI 49684-2360 | 2016-05-10 |
| 1194088468 | Shruti Sevak | Surgery | 1221 Sixth St Ste 300, Traverse City, MI 49684-2360 | 2012-06-20 |
| 1598058893 | Barbara Eileen Barnes | Nurse Practitioner | 1221 Sixth St Ste 300, Traverse City, MI 49684-2360 | 2011-05-18 |
| 1891950317 | Ashley Sachtleben | Surgery | 1221 Sixth St Ste 300, Traverse City, MI 49684-2360 | 2008-07-24 |
| 1578734158 | Jay Edgar Dujon | Surgery | 1221 Sixth St Ste 300, Traverse City, MI 49684-2360 | 2008-03-21 |
| 1619180064 | Jenifer Lyn Green | Nurse Practitioner | 1221 Sixth St Ste 300, Traverse City, MI 49684-2360 | 2007-05-08 |
| 1427153329 | John A Campbell | Neurological Surgery | 1221 Sixth St Ste 300, Traverse City, MI 49684-2360 | 2006-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124641758 | Karen Anne Paulosky | Registered Nurse | 226 S Madison St, Traverse City, MI 49684 | 2020-05-18 |
| 1891314795 | Jaclyn Elizabeth Sylvain | Student in an Organized Health Care Education/Training Program | Munson Family Practice Center, 1400 Medical Campus Drive, Traverse City, MI 49684 | 2020-04-10 |
| 1285282988 | Madelyn Drumm | Dietitian, Registered | 217 S. Madison St., Suite 3022, Traverse City, MI 49684 | 2019-08-27 |
| 1265917686 | Kacie Danielle Heading | Social Worker | 12719 S. West Bay Shore Drive, Suite 9, Traverse City, MI 49684 | 2018-10-02 |
| 1881178325 | Jacob White Ph.d., Pllc | Psychologist | 3537 W. Front Street, Suite F, Traverse City, MI 49684 | 2018-09-20 |
| 1144702572 | Constance Baab, Phd, Lmsw, Pllc | Social Worker | 3301 Veterans Drive Suite 127, Traverse City, MI 49684 | 2018-09-01 |
| 1346732880 | The Skin Cancer and Dermatology Center Plc | Dermatology | 1225 W Front St Ste 2, Traverse City, MI 49684 | 2018-05-31 |
| 1790283851 | Lisa Louise Kleyps | Massage Therapist | 3337 W. South Airport Road #2, Traverse City, MI 49684 | 2018-01-24 |
| 1114447646 | Brittany Alexandra Prior | Physical Therapist | 3899 W Front Sreet, Unit 3, Traverse City, MI 49684 | 2017-06-26 |
| 1568902963 | Jennifer Scott | Behavior Technician | 515 W 14th St Unit D, Traverse City, MI 49684 | 2017-03-03 |
| Find all providers in zip 49684 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912139544 | Richard Lawrence Burgett Sr. | Physician Assistant | 4327 Stone Ridge Dr, Traverse City, MI 49684-7958 | 2009-08-15 |
| 1346712288 | Savannah Lynn Micunek | Physician Assistant | 1221 Sixth St, Traverse City, MI 49684-2701 | 2018-12-17 |
| 1538579784 | Kevin Coles | Physician Assistant | 1105 Sixth St, Traverse City, MI 49684-2349 | 2014-04-28 |
| 1154623080 | Elizabeth Christine Erickson | Physician Assistant | 1105 Sixth St, Traverse City, MI 49684-2345 | 2010-11-29 |
| 1518294495 | Kacie Ann Freeborn | Physician Assistant | 4045 West Royal Drive, Traverse City, MI 49684-8965 | 2009-11-12 |
| 1508190851 | Andrew Wallace Freeborn | Physician Assistant | 1105 Sixth St, Traverse City, MI 49684-2345 | 2009-09-18 |
| 1710901517 | Ralph A Geraci | Physician Assistant | 4045 W Royal Dr, Traverse City, MI 49684-8965 | 2006-07-26 |
| 1770505638 | Amy P Kudary | Physician Assistant | 4045 W Royal Dr, Traverse City, MI 49684-8965 | 2006-07-23 |
| 1407898810 | Karen A Tosiello | Physician Assistant | 4110 Copper Ridge Dr, Suite 242, Traverse City, MI 49684-7255 | 2006-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841835303 | Gerard M Lefebvre Jr. | Physician Assistant | 5301 Mcauley Dr Ste 5112, Ypsilanti, MI 48197-1051 | 2019-11-08 |
| 1548611023 | Michael Scott Schaeffer II | Physician Assistant | 58070 Montego Dr, New Hudson, MI 48165-9735 | 2016-06-27 |
| 1700248176 | Katilyn Kohl | Physician Assistant | 3990 John R St Ste 4905, Detroit, MI 48201-2018 | 2016-03-24 |
| 1881052363 | Surgical Assist, Plc | Physician Assistant | 4409 Gaylord Dr, Troy, MI 48098-4458 | 2016-01-29 |
| 1710342134 | Evan Reid Vandenbosch | Physician Assistant | 36622 5 Mile Rd, Suite 101, Livonia, MI 48154-1900 | 2015-12-30 |
| 1619368008 | Matthew Eisen | Physician Assistant | 1560 E Sherman Blvd Ste 9, Muskegon, MI 49444-1867 | 2015-02-06 |
| 1609214972 | Jennifer Lynn Krishnan | Physician Assistant | 3601 E 13 Mile Rd, Royal Oak, MI 48073-6769 | 2013-06-10 |
| 1093028441 | Lonna Petronella Van Ast | Physician Assistant | 1022 Ada Place Dr Se, Grand Rapids, MI 49546-3786 | 2010-07-14 |
| 1669707170 | Luke Thomas Dillon | Physician Assistant | 3100 Cross Creek Pkwy Ste 200, Auburn Hills, MI 48326-2776 | 2009-10-16 |
| 1881822187 | Shea Mace | Physician Assistant | 6799 West Grand Blvd, Detroit, MI 48202 | 2009-06-24 |
| Find all providers with the same taxonomy | ||||
| City | TRAVERSE CITY |
| Zip Code | 49684 |
Please comment or provide details below to improve the information on LARRY D ALEXANDER.
| 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.