1407935810 NPI number — ALEXANDER H. PAYATAKES MD

Table of content: ALEXANDER H. PAYATAKES MD (NPI 1407935810)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1407935810 NPI number — ALEXANDER H. PAYATAKES MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PAYATAKES
Provider First Name:
ALEXANDER
Provider Middle Name:
H.
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1407935810
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/31/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
30 HOPE DR
Provider Second Line Business Mailing Address:
BONE AND JOINT INSTITUTE, PO BOX 859, EC 089
Provider Business Mailing Address City Name:
HERSHEY
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
17033-2036
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
717-531-2948
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
30 HOPE DR
Provider Second Line Business Practice Location Address:
BONE AND JOINT INSTITUTE, EC 089
Provider Business Practice Location Address City Name:
HERSHEY
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17033-2036
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-531-2948
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/04/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207X00000X , with the licence number:  MD430321 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)