Provider Demographics
NPI:1942272653
Name:ALEXANDER, JAMES ARTHUR (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:ARTHUR
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 1:300 RED CREEK DR
Mailing Address - Street 2:STE 200
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14623-4283
Mailing Address - Country:US
Mailing Address - Phone:585-487-2221
Mailing Address - Fax:585-334-8732
Practice Address - Street 1:300 RED CREEK DR
Practice Address - Street 2:STE 200
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14623-4283
Practice Address - Country:US
Practice Address - Phone:585-487-2221
Practice Address - Fax:585-334-8732
Is Sole Proprietor?:No
Enumeration Date:2006-02-06
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY229015207Q00000X
NY229015-1207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYCC8362OtherRR MEDICARE GROUP
NYP01427625OtherMEDICARE RR
NY02438833Medicaid
NYP0049022OtherRR MEDICARE PIN
NYP0049022OtherRR MEDICARE PIN
NYP01427625OtherMEDICARE RR