Alaska Bleeding Disorder Clinics

Primary specialty

Hematology (Internal Medicine) PhysicianTaxonomy code 207RH0000X

Legal business name

ALASKA BLEEDING DISORDER CLINICS

Practice address

1200 Airport Heights Dr Ste 101
Anchorage, AK 99508-2982

Phone

(907) 917-9235

Fax

(907) 891-7307

NPI assigned

Oct 21, 2019

Last updated

Feb 12, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dave Groller

Title

Administrator

Phone

(907) 917-9235

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shannon Rochelle Norman, MD

  • Pediatric Hematology & Oncology Physician
  • Anchorage, AK
  • NPI 1982881421
  Medicare reassignment NPD
• Jason A Taylor, MD, PHD

  • Medical Oncology Physician
  • Seattle, WA
  • NPI 1518177864
  NPD

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

{
    "created_epoch": "1571616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770854400000",
    "number": "1003459298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 AIRPORT HEIGHTS DR STE 101",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082982",
            "telephone_number": "907-917-9235",
            "fax_number": "907-891-7307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 AIRPORT HEIGHTS DR STE 101",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082982",
            "telephone_number": "907-917-9235",
            "fax_number": "907-891-7307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALASKA BLEEDING DISORDER CLINICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-21",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A",
        "authorized_official_last_name": "GROLLER",
        "authorized_official_first_name": "DAVE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "907-917-9235"
    },
    "taxonomies": [
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hematology (Internal Medicine) Physician in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Hematology (Internal Medicine) Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.