Organization Active NPI

Alaska Neurological Surgery LLC

  • Neurological Surgery Physician
  • Palmer, AK
National Provider Identifier
1063552115
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
5237 Issued in AK
Legal business name
ALASKA NEUROLOGICAL SURGERY LLC
Practice address
2490 South Woodworth Loop
Suite 450
Palmer, AK 99645
Phone
(907) 746-7479
Fax
(907) 746-7477
NPI assigned
Feb 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Erik P Kohler, MDNPI 1255379731
Title
Owner
Phone
(907) 746-7479

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
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X 5237 AK Primary

Addresses

Primary practice location

2490 South Woodworth Loop
Suite 450
Palmer, AK 99645

Mailing address

2490 South Woodworth Loop
Suite 450
Palmer, AK 99645
Phone (907) 746-7479

National Provider Directory

National Provider Directory

Locations

2490 S Woodworth Loop
Ste 310
Palmer, AK 99645
Phone (907) 745-7575

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": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063552115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2490 SOUTH WOODWORTH LOOP",
            "address_2": "SUITE 450",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "99645",
            "telephone_number": "907-746-7479",
            "fax_number": "907-746-7477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2490 SOUTH WOODWORTH LOOP",
            "address_2": "SUITE 450",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "99645",
            "telephone_number": "907-746-7479",
            "fax_number": "907-746-7477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALASKA NEUROLOGICAL SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOHLER",
        "authorized_official_first_name": "ERIK",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-746-7479",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "AK",
            "license": "5237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmer, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.