Jeffrey D Medland, LLC

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

1055571 Issued in AK

Legal business name

JEFFREY D MEDLAND, LLC

Practice address

3260 Providence Dr Ste 523
Anchorage, AK 99508-4608

Phone

(907) 222-1724

Fax

(907) 770-2325

NPI assigned

Jul 31, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Joseph Beaty

Title

Billing Agent

Phone

(907) 770-2301

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1501459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504224000000",
    "number": "1114441227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 241769",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995241769",
            "telephone_number": "907-222-1724",
            "fax_number": "907-770-2325"
        },
        {
            "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": "907-222-1724",
            "fax_number": "907-770-2325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY D MEDLAND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-31",
        "last_updated": "2017-09-01",
        "status": "A",
        "authorized_official_last_name": "BEATY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "BILLING AGENT",
        "authorized_official_telephone_number": "907-770-2301",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "AK",
            "license": "1055571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1649121",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lawrence Jedlicka, MD
• Donna Jefferson, BS
• Tina Jefferson
• Kimberly Jeffery
• Jeffrey C Trotter
• Jeffrey S. Moore MD and Elisha T. Powell IV MD LLC
• Jeffrey W. Molloy, M.D, P.C.
• Tatjana Jelic, RPH
• Pamela Jemison
• Christy Mary Jen, D.D.S.

• Endocrinology, Diabetes & Metabolism Physician in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Endocrinology, Diabetes & Metabolism Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2017; 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.