Individual provider Active NPI

Mark Barnett, M.D.

  • Anesthesiology Physician
  • Anchorage, AK
National Provider Identifier
1164431979
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
2747 Issued in AK
Practice address
3300 Providence Dr., Suite 207
Providence Anchorage Anesthesia Medical Group, P.C.
Anchorage, AK 99508-4619
Phone
(907) 561-0005
Fax
(907) 563-9140
NPI assigned
Aug 8, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 2747 AK Primary

Addresses

Primary practice location

3300 Providence Dr., Suite 207
Providence Anchorage Anesthesia Medical Group, P.C.
Anchorage, AK 99508-4619

Mailing address

3300 Providence Dr., Suite 207
Providence Anchorage Anesthesia Medical Group, P.C.
Anchorage, AK 99508-4619
Phone (907) 561-0005

Other identifiers 1

IdentifierTypeStateIssuer
2747MedicaidAK

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

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164431979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 PROVIDENCE DR., SUITE 207",
            "address_2": "PROVIDENCE ANCHORAGE ANESTHESIA MEDICAL GROUP, P.C.",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084619",
            "telephone_number": "907-561-0005",
            "fax_number": "907-563-9140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 PROVIDENCE DR., SUITE 207",
            "address_2": "PROVIDENCE ANCHORAGE ANESTHESIA MEDICAL GROUP, P.C.",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084619",
            "telephone_number": "907-561-0005",
            "fax_number": "907-563-9140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNETT",
        "first_name": "MARK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AK",
            "license": "2747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2747",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, 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.

Verify at the official NPI Registry.