Coastal ASC,LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

COASTAL ASC,LLC

Practice address

188 W Northern Lights Blvd Ste 110
Anchorage, AK 99503-3902

Phone

(907) 562-0018

Fax

(907) 562-0019

NPI assigned

May 18, 2022

Last updated

Sep 13, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Susanne E. Fix, MDNPI 1497866578

Title

Director

Phone

(907) 562-0018

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Susanne E. Fix, M.D.

  • Neurological Surgery Physician
  • Anchorage, AK
  • NPI 1497866578
  NPD Authorized official

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

{
    "created_epoch": "1652832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726185600000",
    "number": "1104563352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 W NORTHERN LIGHTS BLVD STE 110",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995033902",
            "telephone_number": "907-562-0018",
            "fax_number": "907-562-0019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 W NORTHERN LIGHTS BLVD STE 110",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995033902",
            "telephone_number": "907-562-0018",
            "fax_number": "907-562-0019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL ASC,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-18",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A",
        "authorized_official_last_name": "FIX",
        "authorized_official_first_name": "SUSANNE",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "907-562-0018",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sy Cloud, L.AC.
• Cloudberry Care Clinic LLC
• Brooklyn Leigh Clough
• Erica Coady, PH.D.
• Timothy Coalwell, M.D.
• Coastal Neurology and Neurosurgery, Inc
• Coastal Wellness and Counseling, LLC
• Stacy Coates
• Farrell Cobbs Jr.
• Margaret M. Cobey, RN ANP

• Ambulatory Surgical Clinic/Center in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Ambulatory Surgical Clinic/Center in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.