Organization Active NPI

Orthoalaska, LLC

Doing business as Orthopedic Physicians Alaska

  • Durable Medical Equipment & Medical Supplies
  • Wasilla, AK
National Provider Identifier
1043698491
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ORTHOALASKA, LLC
Doing business as
Orthopedic Physicians Alaska
Practice address
3125 E Meridian Park Loop
Wasilla, AK 99654
Phone
(907) 357-2267
Fax
(907) 563-3460
NPI assigned
May 18, 2015
Last updated
Nov 14, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
ORTHOALASKA, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Authorized official

Name
Elisha PowellNPI 1255345641
Title
Physician/Owner
Phone
(907) 562-2277

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)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

3125 E Meridian Park Loop
Wasilla, AK 99654

Mailing address

3801 Lake Otis Pkwy
Suite 300
Anchorage, AK 99508-5234
Phone (907) 562-2277

Other names 1

  • Orthopedic Physicians Alaska Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160512001528 AK DME Supplier - Physician - Orthopedic/Orthopedic Surgery 2961705520 Practice locations: Wasilla, AK

Other NPIs with the same Medicare PAC ID 13

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 13

National Provider Directory

National Provider Directory
Tax ID family
Orthoalaska LLC14 organizations share this tax ID, including this one
Part of
Orthoalaska LLC

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 105

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 105

NPI Registry JSON

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

{
    "created_epoch": "1431907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731542400000",
    "number": "1043698491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 LAKE OTIS PKWY",
            "address_2": "SUITE 300",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085234",
            "telephone_number": "907-562-2277",
            "fax_number": "907-563-3460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 E MERIDIAN PARK LOOP",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "99654",
            "telephone_number": "907-357-2267",
            "fax_number": "907-563-3460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOALASKA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ORTHOALASKA, LLC",
        "enumeration_date": "2015-05-18",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "ELISHA",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "907-562-2277"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orthopedic Physicians Alaska",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Orthopedic Physicians Alaska",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.