Individual provider Active NPI

Arlene Gay Kirschner, M.D. APC

  • Surgery Physician
  • Fairbanks, AK
National Provider Identifier
1053383711
Registry record updated Mar 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
AA2464 Issued in AK
Practice address
3419 Airport Way Ste B
Fairbanks, AK 99709-4761
Phone
(907) 474-4745
Fax
(907) 374-8715
NPI assigned
Feb 6, 2006
Last updated
Mar 4, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X AA2464 AK Primary

Addresses

Primary practice location

3419 Airport Way Ste B
Fairbanks, AK 99709-4761

Mailing address

PO Box 72283
Fairbanks, AK 99707-2283
Phone (907) 474-4745

Other identifiers 1

IdentifierTypeStateIssuer
MD2464MedicaidAK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040401000718 AK Practitioner - General Surgery 0244222982 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Louisiana State University School of Medicine in Shreveport, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1212 10TH Ave
Fairbanks, AK 99701-4113
Phone (907) 474-4745

PO Box
Fairbanks, AK 99708

PO Box
Suite 72283
Fairbanks, AK 99707

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Mastectomy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
AA2464AKMDSurgery Physician
2464AKMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Arlene Kirschner, M.D., Apc Surgery CurrentSince Mar 1, 2013 Accepting new patients

Locations

3419 Airport Way
Ste B
Fairbanks, AK 99709
Phone (907) 374-8914

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362355200000",
    "number": "1053383711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 72283",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997072283",
            "telephone_number": "907-474-4745",
            "fax_number": "907-374-8915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3419 AIRPORT WAY STE B",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997094761",
            "telephone_number": "907-474-4745",
            "fax_number": "907-374-8715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRSCHNER",
        "first_name": "ARLENE",
        "middle_name": "GAY",
        "credential": "M.D. APC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-06",
        "last_updated": "2013-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AK",
            "license": "AA2464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD2464",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairbanks, AK

Sources for this page

Verify at the official NPI Registry.