Peak Neurology and Sleep Medicine, LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

10020729 Issued in AK

Legal business name

PEAK NEUROLOGY AND SLEEP MEDICINE, LLC

Practice address

2741 Debarr Rd Ste C308
Anchorage, AK 99508

Phone

(907) 331-3640

Fax

(907) 348-7574

NPI assigned

Jun 20, 2014

Last updated

Jun 15, 2018By 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

Dr. Graham Alexander Glass, M.D.NPI 1881671907

Title

Partner

Phone

(415) 695-4537

Specialties & licenses 1

Addresses

Other identifiers 2

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 11

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.

• Graham A Glass, M.D.

  • Neurology Physician
  • San Francisco, CA
  • NPI 1881671907

  AK

  Medicare reassignment Care Compare group NPD Authorized official
• Genevieve Corbett, FNP

  • Nurse Practitioner
  • Anchorage, AK
  • NPI 1851773469
  Medicare reassignment Care Compare group NPD
• Ross William Dodge, MD

  • Internal Medicine Physician
  • Jber, AK
  • NPI 1881850949
  Medicare reassignment Care Compare group NPD
• Emily Garhart

  • Family Nurse Practitioner
  • Anchorage, AK
  • NPI 1376904532
  Medicare reassignment Care Compare group NPD
• Jaclyn Housley, ANP

  • Nurse Practitioner
  • Anchorage, AK
  • NPI 1760111827
  Medicare reassignment Care Compare group NPD
• Jimin H Hwang, NP

  • Nurse Practitioner
  • Anchorage, AK
  • NPI 1053088617
  Medicare reassignment Care Compare group NPD
• Marci L Troxell, DO

  • Neurology Physician
  • Anchorage, AK
  • NPI 1578701033
  Medicare reassignment Care Compare group NPD
• Kristina Louise Ellis, PA-C

  • Surgical Physician Assistant
  • Anchorage, AK
  • NPI 1104440585
  Medicare reassignment Care Compare group
• Robert A Lada, MD

  • Neurology Physician
  • Anchorage, AK
  • NPI 1982667101
  Medicare reassignment Care Compare group
• Keith Berry, APRN

  • Nurse Practitioner
  • Anchorage, AK
  • NPI 1972439180
  NPD
• Danielle Lisse, DNP,APRN,CPNP-PC

  • Pediatric Nurse Practitioner
  • Anchorage, AK
  • NPI 1548815459
  NPD (past)

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

{
    "created_epoch": "1403222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529020800000",
    "number": "1194130823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2741 DEBARR RD STE C308",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082972",
            "telephone_number": "907-331-3640",
            "fax_number": "907-348-7574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2741 DEBARR RD STE C308",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99508",
            "telephone_number": "907-331-3640",
            "fax_number": "907-348-7574"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2841 DeBarr Rd Ste 32",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995082967",
            "country_code": "US",
            "telephone_number": "907-331-3640 x7575",
            "fax_number": "907-348-7574",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PEAK NEUROLOGY AND SLEEP MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-20",
        "last_updated": "2018-06-15",
        "status": "A",
        "authorized_official_last_name": "GLASS",
        "authorized_official_first_name": "GRAHAM",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "415-695-4537",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "AK",
            "license": "10020729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1616451",
            "state": "AK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1194130823",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peace and Harmony Alh (Peace and Harmony)
• Peace of Mind Care Management
• Peaceful Living LLC
• David Edward Peach, MD
• Peak Medical Equipment, LLC
• Peak Rehab LLC
• Michael Jay Anthony Pearce, DC
• Wanda L Pearce
• Elizabeth Jeanne Pearch, BA, ACMT, LMT, DOULA
• Zachary B Pearman, PHARMD

• Multi-Specialty Clinic/Center in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Multi-Specialty Clinic/Center in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2018; 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.