Aer Medical LLC

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

Legal business name

AER MEDICAL LLC

Practice address

1200 Airport Heights Dr Ste 200
Anchorage, AK 99508-2969

Phone

(907) 262-4278

Fax

(907) 802-4530

NPI assigned

Feb 22, 2019

Organization subpart

No

Name

Michele Petterson

Title

Billing Manager

Phone

(907) 313-8411

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lily Margaux George, NP

  • Gerontology Nurse Practitioner
  • Anchorage, AK
  • NPI 1245903962

  AK

  Medicare reassignment NPD
• Alvaro Enrique Rosales, MD

  • Internal Medicine Physician
  • Anchorage, AK
  • NPI 1811192495

  AK, Cardiovascular Disease

  Medicare reassignment NPD
• Christopher Alki Michaeles, M.D.

  • Cardiovascular Disease Physician
  • Olean, NY
  • NPI 1225060684

  AK, Cardiovascular Disease

  Medicare reassignment NPD

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Locations

Interoperability endpoints

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

• Borealis Heart Specialists Doing business as
• AER Medical, LLC Former legal business name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 28, 2024.

{
    "created_epoch": "1550793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711584000000",
    "number": "1083171342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3627",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996693627",
            "telephone_number": "907-262-4278",
            "fax_number": "907-802-4530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 AIRPORT HEIGHTS DR STE 200",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082969",
            "telephone_number": "907-262-4278",
            "fax_number": "907-802-4530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AER MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-22",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A",
        "authorized_official_last_name": "PETTERSON",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "907-313-8411"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BUSINESS LICENSE",
            "identifier": "1112393",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Borealis Heart Specialists",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AER Medical, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "AER Medical, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• All providers in Anchorage, AK
• Geriatric Medicine (Internal Medicine) Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.