Active NPI
Anchorage Oncology Centre,LLC
- Hematology & Oncology Physician
- Anchorage, AK
National Provider Identifier
1043345259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- AA2285
- Legal business name
- ANCHORAGE ONCOLOGY CENTRE,LLC
- Practice address
- 4231 Lake Otis Pkwy
Suite B2
Anchorage, AK 99508-5214 - Phone
- (907) 569-2627
- Fax
- (907) 569-2626
- NPI assigned
- Feb 21, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Latha Subramanian, M.D.
- Title
- Member
- Phone
- (907) 569-2627
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | AA2285 | AK | Primary |
Addresses
Primary practice location
4231 Lake Otis Pkwy
Suite B2
Anchorage, AK 99508-5214
Mailing address
4231 Lake Otis Pkwy
Suite B2
Anchorage, AK 99508-5214
Phone (907) 569-2627
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD2285 | Medicaid | AK | |
| AA2285 | Other | AK | STATE MEDICAL LICENSE |
National Provider Directory
National Provider DirectoryLocations
4231 Lake Otis Pkwy
#B2
Anchorage, AK 99508
Phone (907) 569-2627
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1043345259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4231 LAKE OTIS PKWY",
"address_2": "SUITE B2",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995085214",
"telephone_number": "907-569-2627",
"fax_number": "907-569-2626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4231 LAKE OTIS PKWY",
"address_2": "SUITE B2",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995085214",
"telephone_number": "907-569-2627",
"fax_number": "907-569-2626"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANCHORAGE ONCOLOGY CENTRE,LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-21",
"last_updated": "2023-03-07",
"status": "A",
"authorized_official_last_name": "SUBRAMANIAN",
"authorized_official_first_name": "LATHA",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "907-569-2627",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "AK",
"license": "AA2285",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MD2285",
"state": "AK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE MEDICAL LICENSE",
"identifier": "AA2285",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Anchorage, AK
- Anchorage Neighborhood Health Center Inc.
- Anchorage Neighborhood Health Center Inc.
- Anchorage Neighborhood Health Center, Inc.
- Anchorage Neighborhood Health Center, Inc.
- Anchorage Neurosurgical Associates Inc
- Anchorage Osteopathic Medical Clinic
- Anchorage Pain Solutions PC
- Anchorage Pathology Group
- Anchorage Pediatric Dentistry, Inc
- Anchorage Pediatric Group
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.