Provider Demographics
NPI:1437162161
Name:ALEXANDER, JAMES W (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:W
Last Name:ALEXANDER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:132 NORTH ST
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:NY
Mailing Address - Zip Code:13021-1829
Mailing Address - Country:US
Mailing Address - Phone:315-685-1691
Mailing Address - Fax:315-685-1695
Practice Address - Street 1:132 NORTH ST
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:NY
Practice Address - Zip Code:13021-1829
Practice Address - Country:US
Practice Address - Phone:315-685-1691
Practice Address - Fax:315-685-1695
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-14
Last Update Date:2019-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY208145-1207V00000X
NY2081451207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYH01981Medicare UPIN
NYCC6868Medicare PIN