NPIMap

Organization Active NPI

Tok Clinic, LLC

  • Family Medicine Physician
  • Tok, AK
National Provider Identifier
1043417959
Registry record updated Jul 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
AA 2011 Issued in AK
Legal business name
TOK CLINIC, LLC
Practice address
Mile 124.5 Tok Cutoff
Tok, AK 99780-0289
Phone
(907) 883-5855
Fax
(907) 883-1043
NPI assigned
Jul 3, 2007
Last updated
Jul 7, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2010

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

Authorized official

Name
Mr. David F Crawford, M.B.A.
Title
Administrator
Phone
(907) 883-5855

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X AA 2011 AK
Family Medicine Physician 207Q00000X AA 2011 AK Primary

Addresses

Primary practice location

Mile 124.5 Tok Cutoff
Tok, AK 99780-0289

Mailing address

PO Box 289
Tok, AK 99780-0289
Phone (907) 883-5855

Other identifiers 1

IdentifierTypeStateIssuer
MD 25592MedicaidAK

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278460800000",
    "number": "1043417959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 289",
            "city": "TOK",
            "state": "AK",
            "postal_code": "997800289",
            "telephone_number": "907-883-5855",
            "fax_number": "907-883-1043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MILE 124.5 TOK CUTOFF",
            "city": "TOK",
            "state": "AK",
            "postal_code": "997800289",
            "telephone_number": "907-883-5855",
            "fax_number": "907-883-1043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOK CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-03",
        "last_updated": "2010-07-07",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "907-883-5855",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.B.A."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AK",
            "license": "AA 2011",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AK",
            "license": "AA 2011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD 25592",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tok, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.

Verify at the official NPI Registry.