Active NPI
Shirley Ann Saucerman, M.D.
- Psychiatry Physician
- Anchorage, AK
National Provider Identifier
1225378664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 2053
- Practice address
- 336 W 10TH Ave
Anchorage, AK 99501-3501 - Phone
- (907) 229-6360
- Fax
- (907) 279-4393
- NPI assigned
- Feb 21, 2013
- Last updated
- Feb 21, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 2053 | AK | Primary |
Addresses
Primary practice location
336 W 10TH Ave
Anchorage, AK 99501-3501
Mailing address
336 W 10TH Ave
Anchorage, AK 99501-3501
Phone (907) 229-6360
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2053 | AK | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361404800000",
"number": "1225378664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "336 W 10TH AVE",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995013501",
"telephone_number": "907-229-6360",
"fax_number": "907-279-4393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "336 W 10TH AVE",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995013501",
"telephone_number": "907-229-6360",
"fax_number": "907-279-4393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAUCERMAN",
"first_name": "SHIRLEY",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-02-21",
"last_updated": "2013-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AK",
"license": "2053",
"primary": true
}
],
"identifiers": [],
"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 Feb 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.