Muldoon ASC LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

MULDOON ASC LLC

Practice address

6911 Debarr Rd
Anchorage, AK 99504-1806

Phone

(907) 205-1545

NPI assigned

Jun 7, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Donald E Weller III

Title

Administrator

Phone

(907) 205-1545

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465257600000",
    "number": "1003265315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6911 DEBARR RD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995041806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6911 DEBARR RD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995041806",
            "telephone_number": "907-205-1545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULDOON ASC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-07",
        "last_updated": "2016-06-07",
        "status": "A",
        "authorized_official_last_name": "WELLER",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "907-205-1545",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Cartsen Mues, M.D.
• Chantele Muffoletto, PHARMD
• John P Muffoletto, M.D.
• Evelyn Patricia Mujica-Larson, LPC, CRC, CDCI
• Ericka C Mulder, ANP, RN
• Muldoon Dental LLC
• Muldoon Development Partners, LLC
• Matthew W Mulhern
• Mulholland Chiropractic Center, LLC
• Kevin Michael Mulholland, DC

• Ambulatory Surgical Clinic/Center in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Ambulatory Surgical Clinic/Center in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.