Denali Asthma and Pulmonary LLC

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

7517 Issued in AK

Legal business name

DENALI ASTHMA AND PULMONARY LLC

Practice address

3202 International St
Suite 201
Fairbanks, AK 99701-7392

Phone

(907) 328-0583

Fax

(907) 325-0586

NPI assigned

Feb 26, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Joyce Merle Shotwell, M.D.

Title

Owner/President

Phone

(907) 325-0583

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1456444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456876800000",
    "number": "1275993685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3202 INTERNATIONAL ST",
            "address_2": "SUITE 201",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997017392",
            "telephone_number": "907-328-0583",
            "fax_number": "907-325-0586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3202 INTERNATIONAL ST",
            "address_2": "SUITE 201",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997017392",
            "telephone_number": "907-328-0583",
            "fax_number": "907-325-0586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENALI ASTHMA AND PULMONARY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-26",
        "last_updated": "2016-03-02",
        "status": "A",
        "authorized_official_last_name": "SHOTWELL",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_middle_name": "MERLE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "907-325-0583",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "AK",
            "license": "7517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Herbert Demit
• Tasha Nichah Demit
• Aubrey Demming-Marsh, B.A.
• Michael James Demoski, EFDHA1
• Rayvan Dempsey
• Denali Biomedical LLC
• Denali Center
• Denali Center, LLC
• Denali Dental Associates, LLC
• Denali Healthcare Specialists

• Pulmonary Disease Physician in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Pulmonary Disease Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2016; 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.