NPIMap

Organization Active NPI

Anesthesia Consultants of Fairbanks LLC

  • Anesthesiology Physician
  • Fairbanks, AK
National Provider Identifier
1285272260
Registry record updated Oct 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
ANESTHESIA CONSULTANTS OF FAIRBANKS LLC
Practice address
2310 Peger Rd
Fairbanks, AK 99709-5305
Phone
(907) 458-7263
Fax
(469) 304-0139
NPI assigned
Dec 20, 2019
Last updated
Oct 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2020

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

Authorized official

Name
Brian Fox
Title
Authorized Official/ Ceo
Phone
(972) 588-4541

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X NU Primary

Addresses

Primary practice location

2310 Peger Rd
Fairbanks, AK 99709-5305

Mailing address

PO Box 250989
Plano, TX 75025-0989
Phone (972) 588-4541

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200303000556 AK Part B Supplier - Clinic/Group Practice 9234566340 Receives reassigned benefits from 18 practitioners
Practice locations: Fairbanks, AK

National Provider Directory

National Provider Directory

Locations

2310 Peger Rd
Fairbanks, AK 99709
Phone (907) 458-7263

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1576800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603324800000",
    "number": "1285272260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 250989",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750250989",
            "telephone_number": "972-588-4541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 PEGER RD",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997095305",
            "telephone_number": "907-458-7263",
            "fax_number": "469-304-0139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANESTHESIA CONSULTANTS OF FAIRBANKS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-20",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL/ CEO",
        "authorized_official_telephone_number": "972-588-4541"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairbanks, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.