Provider Demographics
NPI:1609828060
Name:ALEXANDER, MARCA S (MD)
Entity Type:Individual
Prefix:
First Name:MARCA
Middle Name:S
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MARCA
Other - Middle Name:L
Other - Last Name:SIPSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3605 SHANDWICK PL
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-6418
Mailing Address - Country:US
Mailing Address - Phone:205-369-1886
Mailing Address - Fax:
Practice Address - Street 1:1514 JEFFERSON HWY
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70121-2429
Practice Address - Country:US
Practice Address - Phone:504-291-5100
Practice Address - Fax:504-291-5125
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA47927208100000X
AL27273208100000X
FLME83004208100000X
LA323594208VP0000X, 208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
10721261OtherCAQH
E13326Medicare UPIN