Alaska Center for Pain Relief Inc
Organization Active NPI Interventional Pain Medicine Physician · Anchorage, AK
NPI 1275922346 · NPPES record last updated Jul 23, 2018
Key facts
- NPI
- 1275922346
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Interventional Pain Medicine Physician 208VP0014X
- Legal business name
- ALASKA CENTER FOR PAIN RELIEF INC
- Practice address
- 3851 Piper St Ste U464
Anchorage, AK 99508 - Phone
- (907) 339-4800
- Fax
- (907) 339-4801
- NPI assigned
- Jan 13, 2015
- Organization subpart
- No
Authorized official
- Name
- Dr. Christopher Gay, MD
- Title
- President
- Phone
- (907) 339-4800
Practitioners 8
-
Christopher Gay, M.D.
-
Jillian Marie Woodruff, M.D.
-
Benjamin Grant Ekstrom, M.D.
-
Jennifer Lynn Robison, PA-C
-
Robert R Thomas, PA-C
-
Jessica Laneice Wilson, BHRN
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 02D2093256 | Alaska Center for Pain Relief Inc | Certificate of waiver | Mar 23, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in AK
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150601000644 | AK | Part B Supplier - Clinic/Group Practice | 1456672609 |
Receives reassigned benefits from 6 practitioners Practice locations: Anchorage, AK |
| O20180302000092 | AK | DME Supplier - Physician - General Practice | 1456672609 | Practice locations: Anchorage, AK |
National Provider Directory
Locations
3851 Piper St
Ste U471
Anchorage, AK 99508
Phone (907) 339-0363
Interoperability endpoints
- https://api.platform.athenahealth.com/10583/brand/2/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician |
207VG0400X | |||
| Interventional Pain Medicine Physician |
208VP0014X | Yes |
Addresses
Primary practice location
3851 Piper St Ste U464
Anchorage, AK 99508
Mailing address
3851 Piper St Ste U464
Anchorage, AK 99508-6905
Phone (907) 339-4800
Other practice location 1
865 N Seward Meridian Pkwy Ste 104
Wasilla, AK 99654-7241
Phone (907) 339-4800
Other providers in Anchorage, AK
- Alaska Care Group, Inc
- Alaska Center for Cleft and Craniofacial Surgery, LLC
- Alaska Center for Dentistry Anchorage, PC
- Alaska Center for Dermatology, P.C.
- Alaska Center for Ear Nose and Throat, Inc.
- Alaska Center for Pediatrics, LLC
- Alaska Center for the Blind and Visually Impaired
- Alaska Center for the Blind and Visually Impaired
- Alaska Children'S Primary Care
- Alaska Children'S Services, Inc.
All providers in Anchorage, AK · Interventional Pain Medicine Physician in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.