Fairbanks Urology

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

FAIRBANKS UROLOGY

Practice address

1211 Cushman St
Fairbanks, AK 99701-4680

Phone

(617) 686-6809

NPI assigned

Jan 2, 2018

Last updated

Jan 27, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Tony Nimeh, MDNPI 1760804777

Title

Physician

Phone

(617) 686-6809

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BFDCBD

Practitioners 5

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.

• Ashley Carolyn Brouwer, MSN, WHNP-BC, ANP-BC

  • Adult Health Nurse Practitioner
  • Fairbanks, AK
  • NPI 1821256751
  Medicare reassignment Care Compare group NPD
• Max Levitt, MD

  • Urology Physician
  • Fairbanks, AK
  • NPI 1487499307
  Medicare reassignment Care Compare group NPD
• Tony Nimeh, MD

  • Urology Physician
  • Fairbanks, AK
  • NPI 1760804777
  Medicare reassignment NPD Authorized official
• David Scott Sharp, M.D.

  • Urology Physician
  • Fairbanks, AK
  • NPI 1275720344
  Medicare reassignment Care Compare group NPD
• Paul Lin Patton, PA-C

  • Surgical Physician Assistant
  • Fairbanks, AK
  • NPI 1437401502
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1514851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737936000000",
    "number": "1043727878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 OLD STEESE HWY STE B306",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997013163",
            "telephone_number": "617-686-6809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 CUSHMAN ST",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997014680",
            "telephone_number": "617-686-6809"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3851 Piper St Ste U431",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995086902",
            "country_code": "US",
            "telephone_number": "907-215-6709",
            "fax_number": "855-259-0324",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2485 Chief William Dr",
            "address_purpose": "LOCATION",
            "city": "Fairbanks",
            "state": "AK",
            "postal_code": "997094873",
            "country_code": "US",
            "telephone_number": "617-686-6809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FAIRBANKS UROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-02",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A",
        "authorized_official_last_name": "NIMEH",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "617-686-6809",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fairbanks Resource Agency Inc
• Fairbanks Somatic Therapy and Wellness LLC
• Fairbanks Surgery, LLC
• Fairbanks Taxi Services LLC.
• Fairbanks Ultrasound, LLC.
• Fairbanks Vascular Surgery
• Fairbanks Youth Advocates (Clearwater Counseling)
• Wade M Falconburg, LCSW, MAC, PACT
• Lois Faller, BS
• Family Centered Services of Ak

• Urology Physician in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Urology Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.