Provider Demographics
NPI:1356337679
Name:ALCAIDE, FERDINAND Q (MD)
Entity type:Individual
Prefix:DR
First Name:FERDINAND
Middle Name:Q
Last Name:ALCAIDE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6228 BRADLEY PARK DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31904-3603
Mailing Address - Country:US
Mailing Address - Phone:706-322-1486
Mailing Address - Fax:706-324-3419
Practice Address - Street 1:6228 BRADLEY PARK DR
Practice Address - Street 2:SUITE A
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31904-3603
Practice Address - Country:US
Practice Address - Phone:706-322-1486
Practice Address - Fax:706-324-3419
Is Sole Proprietor?:No
Enumeration Date:2005-09-22
Last Update Date:2022-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA038662207RN0300X
AL18139207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000616338RMedicaid
GA52484043OtherBCBS GA
GA000616338KMedicaid
GA000616338LMedicaid
GA000616338PMedicaid
GA60001048OtherBCBS AL
GA000616338IMedicaid
GA390005897OtherRAILROAD MEDICARE
AL000008959Medicaid
AL009902540Medicaid
AL51008959OtherBCBS AL
GA000616338KMedicaid
GA000616338IMedicaid
AL51008959OtherBCBS AL