Organization Active NPI

Dr Richard T. Kilby, M.D. LLC

  • Obstetrics & Gynecology Physician
  • Anchorage, AK
National Provider Identifier
1104127588
Registry record updated Mar 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
906292 Issued in AK
Legal business name
DR RICHARD T. KILBY, M.D. LLC
Practice address
1200 Airport Heights Dr Ste 280
Anchorage, AK 99508-2971
Phone
(907) 339-9737
Fax
(907) 339-9720
NPI assigned
Nov 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2013

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

Authorized official

Name
Dr. Richard T Kilby, M.D.
Title
Owner
Phone
(907) 339-9737

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 906292 AK Primary

Addresses

Primary practice location

1200 Airport Heights Dr Ste 280
Anchorage, AK 99508-2971

Mailing address

1200 Airport Heights Dr Ste 280
Anchorage, AK 99508-2971
Phone (907) 339-9737

Other identifiers 1

IdentifierTypeStateIssuer
MPG0309MedicaidAK

National Provider Directory

National Provider Directory

Locations

1200 Airport Heights Dr
Ste 200
Anchorage, AK 99508
Phone (907) 250-6767

NPI Registry JSON

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

{
    "created_epoch": "1289865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363132800000",
    "number": "1104127588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 AIRPORT HEIGHTS DR STE 280",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082971",
            "telephone_number": "907-339-9737",
            "fax_number": "907-339-9720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 AIRPORT HEIGHTS DR STE 280",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082971",
            "telephone_number": "907-339-9737",
            "fax_number": "907-339-9720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR RICHARD T. KILBY, M.D. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-16",
        "last_updated": "2013-03-13",
        "status": "A",
        "authorized_official_last_name": "KILBY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-339-9737",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "AK",
            "license": "906292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MPG0309",
            "state": "AK"
        }
    ],
    "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 Mar 13, 2013; 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.