Provider Demographics
NPI:1053385955
Name:ALEXANDER, DAN G (MD)
Entity type:Individual
Prefix:
First Name:DAN
Middle Name:G
Last Name:ALEXANDER
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:PO BOX 295
Mailing Address - Street 2:
Mailing Address - City:ATLASBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15004-0295
Mailing Address - Country:US
Mailing Address - Phone:724-947-5535
Mailing Address - Fax:724-947-5530
Practice Address - Street 1:1569 SMITH TOWNSHIP STATE RD STE 6
Practice Address - Street 2:
Practice Address - City:BURGETTSTOWN
Practice Address - State:PA
Practice Address - Zip Code:15021-2832
Practice Address - Country:US
Practice Address - Phone:724-947-5535
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-15
Last Update Date:2020-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD041486E207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA204308310OtherCHOICE CARE HUMANA
PA204308310OtherCLEARCARE
PA694387OtherBLUE CROSS BLUE SHIELD
PA204308310OtherSELECT CARE
PA204308310OtherUNITED HEALTHCARE
PA183553OtherUNISON HEALTH PLAN
PA204308310OtherTRICARE/CHAMPUS
PA1016420650001Medicaid
PA1824674OtherKEYSTONE HEALTH PLAN
PA611190300OtherPA WORKERS COMPENSATION
PA204308310OtherDEVON HEALTH PLAN
PA411189OtherUPMC HEALTH PLAN
PA9689538OtherCIGNA
PAP00686295OtherPALMETTO GBA
PA1824674OtherKEYSTONE HEALTH PLAN
PA204308310OtherSELECT CARE