Southeast Alaska Urology, LLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

4879 Issued in AK

Legal business name

SOUTHEAST ALASKA UROLOGY, LLC

Practice address

3000 Vintage Blvd Ste 270
Juneau, AK 99801-7125

Phone

(907) 586-1450

NPI assigned

Sep 18, 2008

Last updated

Apr 8, 2022By 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

John W Huffer, M.D.NPI 1154460194

Title

President

Phone

(907) 586-1450

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

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.

• John Whitford Huffer, MD

  • Urology Physician
  • Juneau, AK
  • NPI 1154460194
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1221696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649376000000",
    "number": "1144470774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 32798",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998032798",
            "telephone_number": "907-586-1450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 VINTAGE BLVD STE 270",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998017125",
            "telephone_number": "907-586-1450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST ALASKA UROLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-18",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A",
        "authorized_official_last_name": "HUFFER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "907-586-1450",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "AK",
            "license": "4879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southeast Alaska Regional Health Constortium (Searhc Physical Rehabilitation Clinic-Juneau)
• Southeast Alaska Regional Health Constortium (Searhc Front Street Clinic- Lemon Creek)
• Southeast Alaska Regional Health Constortium (Searhc Internal Medicine Clinic-Juneau)
• Southeast Alaska Regional Health Constortium (Searhc Vintage Park Campus-Juneau)
• Southeast Alaska Therapies, LLC
• Southeast Dental Group, PC
• Southeast Foot & Ankle Center Inc
• Southeast Furniture Warehouse, Inc
• Southeast Psychiatry
• Southeast Radiology Consultants LLC

• Urology Physician in Juneau, AK
• Providers in Juneau, AK by specialty
• Urology Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.