NPIMap

Organization Active NPI

Family Medicine of Alaska Inc

  • Family Medicine Physician
  • Wasilla, AK
National Provider Identifier
1033305875
Registry record updated Sep 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FAMILY MEDICINE OF ALASKA INC
Practice address
1261 S Seward Meridian Pkwy
Suite a
Wasilla, AK 99654-8334
Phone
(907) 376-1276
Fax
(907) 373-0755
NPI assigned
Sep 14, 2007
Last updated
Sep 17, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2007

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

Authorized official

Name
Ms. Patricia J Lajcsak
Title
Office Manager
Phone
(907) 376-1276

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

1261 S Seward Meridian Pkwy
Suite a
Wasilla, AK 99654-8334

Mailing address

1261 S Seward Meridian Pkwy
Suite a
Wasilla, AK 99654-8334
Phone (907) 376-1276

Other identifiers 1

IdentifierTypeStateIssuer
MD15371MedicaidAK

National Provider Directory

National Provider Directory

Locations

1261 S Seward Meridian Pkwy
Ste A
Wasilla, AK 99654
Phone (907) 376-1276

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189987200000",
    "number": "1033305875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1261 S SEWARD MERIDIAN PKWY",
            "address_2": "SUITE A",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996548334",
            "telephone_number": "907-376-1276",
            "fax_number": "907-373-0755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1261 S SEWARD MERIDIAN PKWY",
            "address_2": "SUITE A",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996548334",
            "telephone_number": "907-376-1276",
            "fax_number": "907-373-0755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICINE OF ALASKA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-14",
        "last_updated": "2007-09-17",
        "status": "A",
        "authorized_official_last_name": "LAJCSAK",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "907-376-1276",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD15371",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wasilla, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2007; 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.