DK Anesthesia Services LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

DK ANESTHESIA SERVICES LLC

Practice address

1275 Sadler Way Ste 202
Fairbanks, AK 99701-3175

Phone

(907) 452-4101

Fax

(907) 452-4102

NPI assigned

Dec 13, 2020

Organization subpart

No

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

Authorized official

Name

Diana Kovacich, MDNPI 1265631550

Title

Organizer

Phone

(907) 687-0745

Specialties & licenses 1

Addresses

Other names 1

• DK Anesthesia Services LLC Doing business as

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Diana L Kovacich, MD

  • Anesthesiology Physician
  • Fairbanks, AK
  • NPI 1265631550

  Anesthesiology

  NPD Authorized official

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

{
    "created_epoch": "1607817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607817600000",
    "number": "1265028484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 SADLER WAY STE 202",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997013175",
            "telephone_number": "907-452-4101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 SADLER WAY STE 202",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997013175",
            "telephone_number": "907-452-4101",
            "fax_number": "907-452-4102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DK ANESTHESIA SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-13",
        "last_updated": "2020-12-13",
        "certification_date": "2020-12-03",
        "status": "A",
        "authorized_official_last_name": "KOVACICH",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "ORGANIZER",
        "authorized_official_telephone_number": "907-687-0745",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "alaskasurgerycenter.com",
            "affiliation": "Y",
            "endpointDescription": "secure website",
            "affiliationName": "AOFS Van Leeuwen PC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1275 Sadler Way Ste 202",
            "city": "Fairbanks",
            "state": "AK",
            "country_code": "US",
            "postal_code": "997013175",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "DK Anesthesia Services LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Fairbanks, AK
• Anesthesiology Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2020; 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.