Active NPI
Charles D. Layman, M.D.
- Specialist
- Wasilla, AK
National Provider Identifier
1154418945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- AA1656
- Practice address
- 5050 Dunbar Drive
Suite D
Wasilla, AK 99654 - Phone
- (907) 357-0820
- Fax
- (907) 357-0821
- NPI assigned
- Oct 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | AA1656 | AK | Primary |
Addresses
Primary practice location
5050 Dunbar Drive
Suite D
Wasilla, AK 99654
Mailing address
PO Box 876009
Wasilla, AK 99687
Phone (907) 357-0820
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AA1656 | AK | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakes Medical Clinic | Current | Accepting new patients | |
| Coho Family Medicine LLC | Past | Accepting new patients |
Locations
5050 E Dunbar Dr
Ste D
Wasilla, AK 99654
Phone (907) 357-0820
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Health Maintenance Organization
- Wasilla, AK
- NPI 1225237563
-
- Family Medicine Physician
- Wasilla, AK
- NPI 1427335785
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154418945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 876009",
"city": "WASILLA",
"state": "AK",
"postal_code": "99687",
"telephone_number": "907-357-0820",
"fax_number": "907-357-0821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5050 DUNBAR DRIVE",
"address_2": "SUITE D",
"city": "WASILLA",
"state": "AK",
"postal_code": "99654",
"telephone_number": "907-357-0820",
"fax_number": "907-357-0821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAYMAN",
"first_name": "CHARLES",
"middle_name": "D.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "AK",
"license": "AA1656",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wasilla, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.