Provider Demographics
NPI:1821070178
Name:ALEXANDER, JAMES G (MD)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:G
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 1:333 S 3RD ST
Mailing Address - Street 2:STE A
Mailing Address - City:DANVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40422-2016
Mailing Address - Country:US
Mailing Address - Phone:859-236-7712
Mailing Address - Fax:859-236-7246
Practice Address - Street 1:333 S 3RD ST
Practice Address - Street 2:STE A
Practice Address - City:DANVILLE
Practice Address - State:KY
Practice Address - Zip Code:40422-2016
Practice Address - Country:US
Practice Address - Phone:859-236-7712
Practice Address - Fax:859-236-7246
Is Sole Proprietor?:No
Enumeration Date:2005-11-14
Last Update Date:2009-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY23026207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
000000046068OtherBS
5244730OtherAETNA
KY23026OtherLICENSE
KYH07056OtherHEALTHWISE
KY07-00062OtherUNITED HEALTH CARE
KY64230261Medicaid
KYP00311969OtherMEDICARE RR
KY64230261Medicaid
KYP00311969OtherMEDICARE RR