Individual provider Active NPI

Maury Allen Oswald, D.O.

  • Family Medicine Physician
  • Anchorage, AK
National Provider Identifier
1265509681
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2781 Issued in AK
Practice address
300 E Dimond Blvd
#12
Anchorage, AK 99515-1908
Phone
(907) 341-7727
Fax
(907) 341-7760
NPI assigned
Nov 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2781 AK Primary

Addresses

Primary practice location

300 E Dimond Blvd
#12
Anchorage, AK 99515-1908

Mailing address

300 E Dimond Blvd
#12
Anchorage, AK 99515-1908
Phone (907) 341-7727

Other identifiers 1

IdentifierTypeStateIssuer
MD2781MedicaidAK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110216001222 AK Practitioner - Osteopathic Manipulative MedicinePractitioner - Family Practice 3173607157 Reassigns benefits to 1 organization
Practice locations: Anchorage, AK

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative MedicineAlso: Family Practice
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alaska Urgent Care LLCGroup PAC ID 1355574484, 13 clinicians

Practice addresses (Care Compare)

300 E Dimond Blvd
Anchorage, AK 99515-1947
Phone (907) 341-7757

300 E Dimond Blvd
Anchorage, AK 99515-1948
Phone (907) 341-7757

300 E Dimond Blvd
Unit 12a
Anchorage, AK 99515-1908

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2781AKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dimond Medical Clinic, LLC Family Medicine Current Accepting new patients
Alaska Urgent Care, LLC Family Medicine CurrentSince Aug 29, 2016 Accepting new patients
Alaska Medical Clinics, LLC Family Medicine CurrentSince Dec 1, 2006 Accepting new patients
Sala Medical LLC PastSince Sep 20, 2022 Accepting new patients

Locations

300 E Dimond Blvd
#12A
Anchorage, AK 99515
Phone (907) 344-9090

300 E Dimond Blvd
Ste 12
Anchorage, AK 99515
Phone (907) 341-7722

300 E Dimond Blvd
Ste 12A
Anchorage, AK 99515
Phone (907) 341-7757

1700 E Parks Hwy
Ste 200
Wasilla, AK 99654
Phone (907) 373-6055

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265509681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E DIMOND BLVD",
            "address_2": "#12",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995151908",
            "telephone_number": "907-341-7727",
            "fax_number": "907-341-7760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E DIMOND BLVD",
            "address_2": "#12",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995151908",
            "telephone_number": "907-341-7727",
            "fax_number": "907-341-7760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSWALD",
        "first_name": "MAURY",
        "middle_name": "ALLEN",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AK",
            "license": "2781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD2781",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.