Steven A Jayich, M.D.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

2074 Issued in AK

Practice address

2801 Debarr Rd
Department of Pathology
Anchorage, AK 99508-2932

Phone

(907) 264-1171

Fax

(907) 264-1702

NPI assigned

Aug 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1093824997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 140987",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995140987",
            "telephone_number": "907-345-0004",
            "fax_number": "907-561-1953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 DEBARR RD",
            "address_2": "DEPARTMENT OF PATHOLOGY",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082932",
            "telephone_number": "907-264-1171",
            "fax_number": "907-264-1702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAYICH",
        "first_name": "STEVEN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "AK",
            "license": "2074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GRO825",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD2074",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allison Jay
• Amanda Jay
• Debra Jay, LMT
• Tabi Jayd, RN
• Margaret Jayich, MD
• Jayne S Fortson, MD
• JC Faith Open Arms
• JC Faith Open Arms #1
• JC Faith Open Arms 1
• JC Faith Open Arms 3

• Anatomic Pathology & Clinical Pathology Physician in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Anatomic Pathology & Clinical Pathology Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.