MR. ALFRED E BACON III (NPI# 1902967508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902967508 |
| Entity Type | Individual |
| Full Name | MR. ALFRED E BACON III |
| Credential | MD |
| Practice Address |
78 Omega Dr Bldg C Newark DE 19713-2064 |
| Practice Telephone | 3023682883 |
| Practice Fax Number | 3023682892 |
| Mailing Telephone | 3023682883 |
| Mailing Fax Number | 3023682892 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2019-01-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
C10002927 | DE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DE | 0000113601 | 05 |
| Street Address |
78 OMEGA DR BLDG C |
| City | NEWARK |
| State | DE |
| Zip Code | 19713-2064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574490 | Stacie Guyton | Nurse Practitioner | 4501 Ogletown Stanton Road, Newark, DE 19713 | 2020-09-25 |
| 1225674633 | Michael Francis Stant | Specialist/Technologist | Delaware Field House, 617 South College Avenue Rm 111b, Newark, DE 19713 | 2019-11-20 |
| 1528559457 | Sarah Mun | Physician Assistant | 4755 Ogletown Stanton Rd, Newark, DE 19713 | 2018-05-26 |
| 1568983286 | Clarice Wanisku Kariuki | Licensed Practical Nurse | 15 Prestbury Square, Suite 14, Nweark, DE 19713 | 2017-07-03 |
| 1679029870 | Auxilia Akala | Nurse Practitioner | 1082 Churchmans Rd, Newrk, DE 19713 | 2016-08-28 |
| 1003369851 | Yawar Abbas | Psychiatry & Neurology | Rockford Center, 100 Rockford Dr, Newark, DE 19713 | 2016-07-28 |
| 1700245925 | Debra Hutz | Counselor | 25 Omega Dr., Professional Center #j, Newark, DE 19713 | 2016-02-16 |
| 1376918201 | Aquiles Igleisias | Speech-Language Pathologist | 540 South College Avenue, Newark, DE 19713 | 2015-12-03 |
| 1639547359 | Kylee Rose | Social Worker | 901 S. Chapel Street, Newark, DE 19713 | 2015-09-11 |
| 1932503976 | Kathleen Madara | Physical Therapist | 540 S College Ave, Suite 210, University of Delaware, Newark, DE 19713 | 2014-10-20 |
| Find all providers in zip 19713 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| 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 |
|---|---|---|---|---|
| 1295006948 | Byungwoo Choi | Internal Medicine | 537 Stanton Christiana Rd Ste 201, Newark, DE 19713-2148 | 2012-01-25 |
| 1174802557 | Gilda Bontempo | Internal Medicine | 185 S Orange Ave Msb I-689, Newark, NJ 07103-2757 | 2011-08-16 |
| 1942456272 | Melinda Sheron Brown | Internal Medicine | St James Health Center, 228 Lafayette Street, Newark, NJ 07105 | 2008-08-18 |
| 1912068529 | Stephanie A Lee | Internal Medicine | 78 Omega Dr Bldg C, Newark, DE 19713-2064 | 2006-12-13 |
| 1811942766 | St Michael Infectious Disease Associates | Internal Medicine | 265 Dr Martin Luther King Jr Blvd, Newark, NJ 07102-2012 | 2006-05-22 |
| 1922497635 | Tilly Varughese | Internal Medicine | 185 S Orange Ave, Newark, NJ 07103-2757 | 2015-01-19 |
| 1417379983 | Maria Elaine Szabela | Internal Medicine | 111 Central Ave, Newark, NJ 07102-1909 | 2014-01-17 |
| 1841634623 | Tanzila Salim | Internal Medicine | 140 Bergen St # D, Newark, NJ 07103-2425 | 2013-04-23 |
| 1487914834 | Kristen Leigh Facciolo | Internal Medicine | 4755 Ogletown Stanton Rd, Newark, DE 19718-0001 | 2012-05-19 |
| 1598023152 | Raymund Vincent Sebastian Sison | Internal Medicine | 111 Central Ave, Department of Medical Education, Newark, NJ 07102-1909 | 2012-05-01 |
| Find all providers in NEWARK | ||||
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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.