Glacier Management Services LLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

5824 Issued in AK

Legal business name

GLACIER MANAGEMENT SERVICES LLC

Practice address

3260 Providence Dr Ste 528
Anchorage, AK 99508-4608

Phone

(907) 770-7213

Fax

(907) 770-7214

NPI assigned

Dec 11, 2012

Last updated

Dec 11, 2012By 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. Stefano Emili, M.D.NPI 1558319434

Title

Sole Proprieter

Phone

(907) 770-7213

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Stefano Emili, MD

  • Nephrology Physician
  • Anchorage, AK
  • NPI 1558319434
  Authorized official Same address or phone

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

{
    "created_epoch": "1355184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355184000000",
    "number": "1215272620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3260 PROVIDENCE DR STE 528",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084608",
            "telephone_number": "907-770-7213",
            "fax_number": "907-770-7214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3260 PROVIDENCE DR STE 528",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084608",
            "telephone_number": "907-770-7213",
            "fax_number": "907-770-7214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLACIER MANAGEMENT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-11",
        "last_updated": "2012-12-11",
        "status": "A",
        "authorized_official_last_name": "EMILI",
        "authorized_official_first_name": "STEFANO",
        "authorized_official_title_or_position": "SOLE PROPRIETER",
        "authorized_official_telephone_number": "907-770-7213",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "AK",
            "license": "5824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Glacier Dental, LLC (Dr. Jeon's Implant Dentistry)
• Daniel Gladden II, MBA, MSW, LCSW
• Gail J Gladle, LPC
• Ronald I Glaeser, D.D.S.
• Kimberly Michelle Glasco, LMT
• Zoe K Glasen

• Nephrology Physician in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Nephrology Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.

Verify at the official NPI Registry.