Individual provider Active NPI

Patrick M Nolan, DO

  • Endocrinology, Diabetes & Metabolism Physician
  • Anchorage, AK
National Provider Identifier
1073799243
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
AA1470 Issued in AK
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

Updated by the provider on May 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Endocrinology
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 Hospital, Anchorage, AK, CCN 020001

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AA1470AKMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Andrzej Maciejewski MD, Inc CurrentSince Nov 1, 2019 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.

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": "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

Verify at the official NPI Registry.