Polar Wind Medical Center, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

POLAR WIND MEDICAL CENTER, INC.

Practice address

1867 Airport Way Ste 140a
Fairbanks, AK 99701-4055

Phone

(907) 457-9355

Fax

(907) 457-9356

NPI assigned

Jul 14, 2006

Organization subpart

No

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

Authorized official

Name

Kendrick David Blais, D.O.NPI 1497771109

Title

President

Phone

(907) 457-9355

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/dacaffe7-8a80-45f7-8229-32bd110ee86a/

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kendrick David Blais, D.O.

  • Family Medicine Physician
  • Fairbanks, AK
  • NPI 1497771109

  AK, Family Medicine

  Medicare reassignment Care Compare group NPD Authorized official
• Jennifer Ann Gehrke, APRN

  • Family Nurse Practitioner
  • Fairbanks, AK
  • NPI 1124740808

  AK

  Medicare reassignment Care Compare group NPD
• Beverly Faythe Parrott, PAC

  • Medical Physician Assistant
  • Fairbanks, AK
  • NPI 1700802410

  AK

  Medicare reassignment Care Compare group
• Michele Robin Aiken, CRNP

  • Family Nurse Practitioner
  • Fairbanks, AK
  • NPI 1174556526

  AK

  Medicare reassignment NPD
• Judy Lynn Lowe, P.A.

  • Medical Physician Assistant
  • Fairbanks, AK
  • NPI 1427078161
  NPD (past)
• Elizabeth Libby Davis Silberling, PA-C

  • Medical Physician Assistant
  • Fairbanks, AK
  • NPI 1104953033
  NPD (past)
• Amanda Marie Traver, FNP

  • Family Nurse Practitioner
  • Fairbanks, AK
  • NPI 1336355965
  NPD (past)
• Lawrence R. Whitehurst, M.D.

  • Family Medicine Physician
  • Culpeper, VA
  • NPI 1508896374

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665100800000",
    "number": "1013933209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1867 AIRPORT WAY STE 140A",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997014055",
            "telephone_number": "907-457-9355",
            "fax_number": "907-457-9356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1867 AIRPORT WAY STE 140A",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997014055",
            "telephone_number": "907-457-9355",
            "fax_number": "907-457-9356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLAR WIND MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A",
        "authorized_official_last_name": "BLAIS",
        "authorized_official_first_name": "KENDRICK",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "907-457-9355",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kassidy Pleasants
• Kenneth Pleasants II
• Rachel Pleasants
• Pleiades Counseling Inc.
• Matthew Poggemiller, DPT
• McKenzie Polsak
• Douglas R Pomeroy, PH.D.
• Michael Pomeroy, PA-C
• Elaine Ponchione, ANP, RN, PSY. A.
• Charlene Rae Pool

• All providers in Fairbanks, AK
• Family Medicine Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.