Provider Demographics
NPI:1477514388
Name:GIORDANO, ALPHONSE GUY (MD)
Entity Type:Individual
Prefix:DR
First Name:ALPHONSE
Middle Name:GUY
Last Name:GIORDANO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:GUY
Other - Middle Name:ALPHONSE
Other - Last Name:GIORDANO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:12964 EMERSON ST
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80241-3980
Mailing Address - Country:US
Mailing Address - Phone:570-971-9335
Mailing Address - Fax:
Practice Address - Street 1:550 THORNTON PKWY UNIT 110
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80229-2166
Practice Address - Country:US
Practice Address - Phone:720-872-0399
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-30
Last Update Date:2020-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD046346L207Q00000X
CODR.0060451207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1494227OtherUNITEDHEALTHCARE
PA086964OtherHIGHMARK BLUE SHIELD
PA540358OtherAETNA
PAB82875OtherHEALTHAMERICA
PA001209OtherFIRST PRIORITY HEALTH
PA0012795520001Medicaid
PA8239OtherGEISINGER HEALTH PLAN
PA8239OtherGEISINGER HEALTH PLAN
B82875Medicare UPIN