Provider Demographics
NPI:1013974724
Name:ALOST, TERENCE JAMES (MD)
Entity Type:Individual
Prefix:
First Name:TERENCE
Middle Name:JAMES
Last Name:ALOST
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:DEPT AT952639
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:31192-2639
Mailing Address - Country:US
Mailing Address - Phone:800-684-0857
Mailing Address - Fax:405-844-1794
Practice Address - Street 1:7777 HENNESSY BLVD
Practice Address - Street 2:SUITE 211
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70808-4300
Practice Address - Country:US
Practice Address - Phone:225-765-7163
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-27
Last Update Date:2013-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA019829207P00000X
LAMD.019829207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1393665Medicaid
MS01972868Medicaid
LAP01226169OtherRAILROAD MCARE
MS01972868Medicaid
LA4F2717061Medicare PIN
LAP01226169OtherRAILROAD MCARE
LA47271Medicare PIN
LA4F271CQ60Medicare PIN