Provider Demographics
NPI:1184117509
Name:FLEMING, ALEXANDER MATTHEW (DO)
Entity type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:MATTHEW
Last Name:FLEMING
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 PELLIS RD STE 2A
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-4700
Mailing Address - Country:US
Mailing Address - Phone:724-689-1070
Mailing Address - Fax:724-689-1063
Practice Address - Street 1:410 PELLIS RD STE 2A
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-4700
Practice Address - Country:US
Practice Address - Phone:724-689-1070
Practice Address - Fax:724-689-1063
Is Sole Proprietor?:No
Enumeration Date:2018-06-11
Last Update Date:2025-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY310611207Q00000X
VA0102207389207QS0010X
PAOS023655207QS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAOT018638Medicaid