MEDICARE: SCOTT F ALEXANDER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	16316	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	XPY091750	OTHER	CA	MEDI-CAL OF CALIFORNIA
2	AZ0251300	OTHER	AZ	BLUE CROSS BLUE SHIELD
3	AZ6453	OTHER	AZ	HEALTHNET OF AZ
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1376506683
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCOTT F ALEXANDER M.D.

Provider Business Mailing Address
First Line	:	PO BOX 36680
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85067-6680
Country	:	US
Telephone Number	:	602-285-9550
Fax Number	:	602-234-3748

Provider Business Practice Location Address
First Line	:	222 W THOMAS RD
Second Line	:	STE 102
City	:	PHOENIX
State	:	AZ
Zip	:	85013-4419
Country	:	US
Telephone Number	:	602-285-9550
Fax Number	:	602-234-3748

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/08/2006
Last Update Date	:	01/17/2008

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Directions to “ SCOTT F ALEXANDER M.D.” Practice Location

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