Physician Compare National (NPI:1669539987)

HEALTHCARE PROVIDER: JEFFREY ALEXANDER D.O.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1669539987
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4688685613
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20131216001799
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ALEXANDER
	Individual professional last name
Provider First Name	JEFFREY
	Individual professional first name
Provider Middle Name	M
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	DO
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
	Individual professional's medical school
Graduation Year	1996
	Individual professional's medical school graduation year
Primary Specialty	ANESTHESIOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	G AND G ANESTHESIA LLC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	4981912607
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	36
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	2100 MADISON AVE
	Group Practice or individual's line 1 address
City	GRANITE CITY
	Group Practice or individual's city
State	IL
	Group Practice or individual's state
Zip Code	620404701
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6187983852
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	140052
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	OSF SAINT ANTHONY'S HEALTH CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	140125
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	GATEWAY REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y