ALEC G CHAN-PONG (NPI# 1427145242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427145242 |
| Entity Type | Individual |
| Full Name | ALEC G CHAN-PONG |
| Credential | M.D. |
| Practice Address |
8900 Se 165th Mulberry Ln The Villages FL 32162-5884 |
| Practice Telephone | 3526745000 |
| Mailing Telephone | 3526745000 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2011-08-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
036-078625 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036078625 | 05 |
| Street Address |
8900 SE 165TH MULBERRY LN |
| City | THE VILLAGES |
| State | FL |
| Zip Code | 32162-5884 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922004647 | Pedro A. Betances | General Practice | 8900 Se 165th Mulberry Ln, North Florida / South Georgia Veterans Health System, The Villages, FL 32162-5884 | 2005-06-27 |
| 1902205743 | Caroline Marie Sutton | Pharmacist | 8900 Se 165th Mulberry Ln, The Villages, FL 32162-5884 | 2014-08-18 |
| 1336569664 | James Huber | Pharmacist | 8900 Se 165th Mulberry Ln, The Villages, FL 32162-5884 | 2014-04-25 |
| 1902238314 | Brian David Fisher | Optometrist | 8900 Se 165th Mulberry Ln, The Villages, FL 32162-5884 | 2013-08-08 |
| 1619228640 | Susan Marie Forbes | Psychologist | 8900 Se 165th Mulberry Ln, The Villages, FL 32162-5884 | 2012-10-01 |
| 1225386394 | Margarita Ana Graeber | Psychologist | 8900 Se 165th Mulberry Ln, The Villages, FL 32162-5884 | 2012-08-21 |
| 1205181591 | Debra Bates | Social Worker | 8900 Se 165th Mulberry Ln, The Villages, FL 32162-5884 | 2012-07-23 |
| 1013218346 | Jessica Lyn Siegel | Pharmacist | 8900 Se 165th Mulberry Ln, The Villages, FL 32162-5884 | 2010-11-03 |
| 1710287974 | Diana Martir | Spec/Tech, Pathology | 8900 Se 165th Mulberry Ln, The Villages, FL 32162-5884 | 2010-10-21 |
| 1881904522 | Shawnda Mcintosh | Physical Therapist | 8900 Se 165th Mulberry Ln, The Villages, FL 32162-5884 | 2010-10-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831700939 | Lana Nesheiwat | Pharmacist | 2235 Parr Drive, Lady Lake, FL 32162 | 2020-08-12 |
| 1619591393 | Advanced Periodontics & Implant Care, LLC | Dentist | 1950 Laurel Manor Drive #184, The Villages, FL 32162 | 2020-05-29 |
| 1639719081 | Retirement Five, LLC | Skilled Nursing Facility | 16605 Se 74th Souiliere Ave, The Villages, FL 32162 | 2020-01-14 |
| 1184263261 | Eric William Allen | Pharmacist | Win Dixie Pharmacy #2545, 2500 Burnsed Blvd, The Villages, FL 32162 | 2020-01-06 |
| 1740828391 | Tara Maria Jennings Irwin | Physical Therapy Assistant | 11962 Cr 101 #104, The Villages, FL 32162 | 2019-12-13 |
| 1851819254 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 310 Longview Ave, Lady Lake, FL 32162 | 2017-09-06 |
| 1033642327 | Ben Miller | Specialist/Technologist | 251 Buffalo Trl, The Villages, FL 32162 | 2017-04-04 |
| 1932631173 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 620 Kristine Way, The Villages, FL 32162 | 2017-03-28 |
| 1639534522 | Pamela Marie Bureau | Registered Nurse | 1020 Lake Sumter Landing, The Villages, FL 32162 | 2015-12-21 |
| 1669847059 | Dawn Johnson | Dental Assistant | 8900 Mulberry Ln, The Villages, FL 32162 | 2015-12-10 |
| Find all providers in zip 32162 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376571117 | Richard A. Truesdale | Internal Medicine | 1400 N Us Highway 441 Ste 531, The Villages, FL 32159-8985 | 2006-06-29 |
| 1861818510 | Madhavi Reddy Ravi | Internal Medicine | 1400 N Us Highway 441 Ste 531, The Villages, FL 32159-8985 | 2014-03-05 |
| 1699059808 | Pezzone Gastroenterology Associates PC | Internal Medicine | 1400 N Us Highway 441 Ste 810, The Villages, FL 32159-8987 | 2011-10-06 |
| 1609089853 | Mariana De Jongh-beyer | Internal Medicine | 1400 N Us Highway 441 Ste 531, The Villages, FL 32159-8985 | 2007-05-07 |
| 1083723225 | Alan Sonsky | Internal Medicine | 1400 N Us Highway 441 Ste 810, The Villages, FL 32159-8987 | 2006-08-30 |
| 1023014735 | Raymond J Mis | Internal Medicine | 1400 N Us Highway 441 Ste 810, The Villages, FL 32159-8987 | 2005-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093321382 | Charlotte Harbor Gastroenterology LLC | Internal Medicine | 2811 Tamiami Trl Ste I, Port Charlotte, FL 33952-5135 | 2020-09-22 |
| 1750907614 | Michael G. Valladares D.o. P.a. | Internal Medicine | 10302 Sw 116th St, Miami, FL 33176-4049 | 2020-06-17 |
| 1578100996 | Alex Aziz Al Khoury | Internal Medicine | 1120 Nw 14th St. Suite 1112, Miami, FL 33136 | 2019-12-04 |
| 1750922399 | Gastroenterology Care Specialists, LLC | Internal Medicine | 550 Redstone Ave W Ste 430, Crestview, FL 32536-6457 | 2019-10-04 |
| 1194375378 | Digestive and Liver Disease Institute of Florida, LLC | Internal Medicine | 505 W Oak St Ste 202, Kissimmee, FL 34741-4986 | 2019-09-18 |
| 1659833002 | Steven L Diamond | Internal Medicine | 5606 Vintage Oaks Terrace, Delray Beach, FL 33484 | 2019-04-04 |
| 1225507601 | Linmec Corp | Internal Medicine | 4531 Deleon St Ste 215, Fort Myers, FL 33907-1279 | 2018-11-15 |
| 1912474156 | Eileen E Kim | Internal Medicine | 5117 Fiorella Ln, Sanford, FL 32771-5449 | 2018-10-25 |
| 1790251197 | Gabriel Benitez | Internal Medicine | 2330 Wilton Dr, Wilton Manors, FL 33305-1249 | 2018-10-23 |
| 1043786833 | Union Medical Group | Internal Medicine | 6300 Corporate Ct Ste 105, Fort Myers, FL 33919-3513 | 2018-10-18 |
| Find all providers with the same taxonomy | ||||
| City | THE VILLAGES |
| Zip Code | 32162 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.