Maryellen Gordian, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

2758 Issued in AK

Practice address

BLDG 60702
Ft Richardson, AK 99505

Phone

(907) 384-6017

NPI assigned

Jan 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1194704619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 241769",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995241769",
            "telephone_number": "907-770-2380",
            "fax_number": "907-770-2390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BLDG 60702",
            "city": "FT RICHARDSON",
            "state": "AK",
            "postal_code": "99505",
            "telephone_number": "907-384-6017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDIAN",
        "first_name": "MARYELLEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-12",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AK",
            "license": "2758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD27581",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hayden Elizabeth Deprez, DDS
• Mark Steven Evans, REGISTERED NURSE
• Christopher G Fearon, DMD
• John Aaron Foote, PA
• Janice Fulton, RN
• Gregory Allen Kalal, D.D.S.
• Kristine Maribelle Kalb, RDH
• Alex Kitchin, DDS
• Hannah Annaleise Little
• Stephen Meyer, PA-C

• General Practice Physician in Fort Richardson, AK
• Providers in Fort Richardson, AK by specialty
• General Practice Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.