Active NPI
Mark Stephen Swircenski, PAC
- Physician Assistant
- Anchorage, AK
National Provider Identifier
1033287990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA235
- Practice address
- 4200 Lake Otis Pkwy
Alaska Family Wellness Center Inc., Suite 304
Anchorage, AK 99508-5215 - Phone
- (907) 561-9444
- Fax
- (907) 561-9446
- NPI assigned
- Nov 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA235 | AK | Primary |
Addresses
Primary practice location
4200 Lake Otis Pkwy
Alaska Family Wellness Center Inc., Suite 304
Anchorage, AK 99508-5215
Mailing address
20440 Raven Dr
Eagle River, AK 99577
Phone (907) 229-2473
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA235 | AK | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alaska Family Wellness Center Inc | Past | Accepting new patients | |
| Physician Associates LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatry Physician
- Anchorage, AK
- NPI 1821295999
-
- Exclusive Provider Organization
- Anchorage, AK
- NPI 1699952358
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279497600000",
"number": "1033287990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20440 RAVEN DR",
"city": "EAGLE RIVER",
"state": "AK",
"postal_code": "99577",
"telephone_number": "907-229-2473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4200 LAKE OTIS PKWY",
"address_2": "ALASKA FAMILY WELLNESS CENTER INC., SUITE 304",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995085215",
"telephone_number": "907-561-9444",
"fax_number": "907-561-9446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWIRCENSKI",
"first_name": "MARK",
"middle_name": "STEPHEN",
"name_prefix": "Mr.",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-30",
"last_updated": "2010-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AK",
"license": "PA235",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.