Provider Demographics
NPI:1831161926
Name:ALSINA, GEORGE ANTHONY (MD)
Entity type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:ANTHONY
Last Name:ALSINA
Suffix:
Gender:
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:PO BOX 2697
Mailing Address - Street 2:
Mailing Address - City:BOWLING GREEN
Mailing Address - State:KY
Mailing Address - Zip Code:42102-7697
Mailing Address - Country:US
Mailing Address - Phone:270-745-1100
Mailing Address - Fax:270-745-1156
Practice Address - Street 1:825 2ND AVE STE C3
Practice Address - Street 2:
Practice Address - City:BOWLING GREEN
Practice Address - State:KY
Practice Address - Zip Code:42101-1791
Practice Address - Country:US
Practice Address - Phone:270-780-2660
Practice Address - Fax:270-780-2692
Is Sole Proprietor?:No
Enumeration Date:2006-02-03
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY58157207T00000X
NC200300437174400000X
MIEMC0006481207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89134JXMedicaid
NC104765400OtherUS DEPT OF LABOR
NC134JXOtherBLUE CROSS/BLUE SHIELD
NC263847109OtherPRACTICE TAX ID
NC263847109OtherPRACTICE TAX ID
NCH87185Medicare UPIN