Heather L. Woller, M.D., LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

6149 Issued in AK

Legal business name

HEATHER L. WOLLER, M.D., LLC

Practice address

3101 Lathrop St
Fairbanks, AK 99701-7426

Phone

(907) 687-0672

NPI assigned

Aug 19, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Heather L Woller, MD

Title

Owner

Phone

(907) 687-0672

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219104000000",
    "number": "1154578490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 84315",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997084315",
            "telephone_number": "907-687-0672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 LATHROP ST",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997017426",
            "telephone_number": "907-687-0672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEATHER L. WOLLER, M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-19",
        "last_updated": "2008-08-19",
        "status": "A",
        "authorized_official_last_name": "WOLLER",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-687-0672",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AK",
            "license": "6149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Specialist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; 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.