Active NPI
Mary Pauline Aguchak
- Other Technician
- Scammon Bay, AK
National Provider Identifier
1184997108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- Practice address
- 150 Main Rd
Scammon Bay Clinic
Scammon Bay, AK 99662-0150 - Phone
- (907) 558-5511
- Fax
- (907) 558-5705
- NPI assigned
- Feb 22, 2012
- Last updated
- Dec 6, 2012
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Other Technician | 247200000X | Primary |
Addresses
Primary practice location
150 Main Rd
Scammon Bay Clinic
Scammon Bay, AK 99662-0150
Mailing address
97 Hillside Rd
Scammon Bay, AK 99662-0097
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9439 | Medicaid | AK |
Other names 1
- Mary Pauline Yunak
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354752000000",
"number": "1184997108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "97 HILLSIDE RD",
"city": "SCAMMON BAY",
"state": "AK",
"postal_code": "996620097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 MAIN RD",
"address_2": "SCAMMON BAY CLINIC",
"city": "SCAMMON BAY",
"state": "AK",
"postal_code": "996620150",
"telephone_number": "907-558-5511",
"fax_number": "907-558-5705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGUCHAK",
"first_name": "MARY",
"middle_name": "PAULINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-22",
"last_updated": "2012-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9439",
"state": "AK"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARY",
"last_name": "YUNAK",
"middle_name": "PAULINE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Scammon Bay, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.