Active NPI
Patrick M Nolan, DO
- Endocrinology, Diabetes & Metabolism Physician
- Anchorage, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- AA1470
- Practice address
- 3260 Providence Dr Ste 523
Anchorage, AK 99508-4608 - Phone
- (907) 222-1714
- NPI assigned
- Jan 17, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | AA1470 | AK | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | AA1470 | AK | Primary |
Addresses
Primary practice location
3260 Providence Dr Ste 523
Anchorage, AK 99508-4608
Mailing address
3260 Providence Dr Ste 523
Anchorage, AK 99508-4608
Phone (907) 222-1714
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- At Still University of Health Sciences, College of Osteo Med, Kirksville, 1976
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3260 Providence Dr
Suite 523
Anchorage, AK 99508-4608
Hospital & facility affiliations
- Providence Alaska Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AA1470 | AK | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Andrzej Maciejewski MD, Inc | Current | Accepting new patients |
Locations
3260 Providence Dr
Ste 523
Anchorage, AK 99508
Phone (907) 222-1714
3300 Providence Dr
Ste 309
Anchorage, AK 99508
Phone (907) 222-6240
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 and National Provider Directory roles.
-
- Nephrology Physician
- Anchorage, AK
- NPI 1831503440
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Anchorage, AK
- NPI 1053363119
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620604800000",
"number": "1073799243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3260 PROVIDENCE DR STE 523",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995084608",
"telephone_number": "907-222-1714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3260 PROVIDENCE DR STE 523",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995084608",
"telephone_number": "907-222-1714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOLAN",
"first_name": "PATRICK",
"middle_name": "M",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-01-17",
"last_updated": "2021-05-10",
"certification_date": "2021-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AK",
"license": "AA1470",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "AK",
"license": "AA1470",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.