1902865553 NPI number — DR. LINDSAY V. FITCH-ALEXANDER MD

Table of content: DR. LINDSAY V. FITCH-ALEXANDER MD (NPI 1902865553)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1902865553 NPI number — DR. LINDSAY V. FITCH-ALEXANDER MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FITCH-ALEXANDER
Provider First Name:
LINDSAY
Provider Middle Name:
V.
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
ALEXANDER
Provider Other First Name:
LINDSAY
Provider Other Middle Name:
V.
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
MD
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1902865553
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/12/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8821 COLUMBIA 100 PKWY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
COLUMBIA
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21045-2274
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
410-997-6400
Provider Business Mailing Address Fax Number:
410-730-6198

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8821 COLUMBIA 100 PKWY
Provider Second Line Business Practice Location Address:
SUITE 3A
Provider Business Practice Location Address City Name:
COLUMBIA
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21045-2274
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-997-6400
Provider Business Practice Location Address Fax Number:
410-730-6198
Provider Enumeration Date:
03/22/2006

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: 208000000X , with the licence number:  D0061943 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 1211096 . This is a "AETNA HMO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 409859500 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".
  • Identifier: 88207602 . This is a "BCBS MD" identifier . This identifiers is of the category "OTHER".
  • Identifier: 38940002 . This is a "BCBS DC" identifier . This identifiers is of the category "OTHER".
  • Identifier: 88207601 . This is a "BCBS MD" identifier . This identifiers is of the category "OTHER".
  • Identifier: 7702776 . This is a "AETNA PPO" identifier . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com