Mayer Clinic Incorporated

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

2974 Issued in AK

Legal business name

MAYER CLINIC INCORPORATED

Practice address

1867 Airport Way
Suite 120B
Fairbanks, AK 99701-4007

Phone

(907) 457-5050

Fax

(907) 457-5034

NPI assigned

Jun 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. John Richard Mayer, MD

Title

President

Phone

(907) 457-5050

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Elizabeth Easley Decker, PA-C

  • Physician Assistant
  • Fairbanks, AK
  • NPI 1912160854
  NPD (past)

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414540800000",
    "number": "1285676841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1867 AIRPORT WAY",
            "address_2": "SUITE 120B",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997014007",
            "telephone_number": "907-457-5050",
            "fax_number": "907-457-5034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1867 AIRPORT WAY",
            "address_2": "SUITE 120B",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997014007",
            "telephone_number": "907-457-5050",
            "fax_number": "907-457-5034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYER CLINIC INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2014-10-29",
        "status": "A",
        "authorized_official_last_name": "MAYER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "907-457-5050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "AK",
            "license": "3960",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "AK",
            "license": "2974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael J Mavencamp, OD
• Ruth Marie Maxwell
• Ellen May, OTR/L
• Heidi Anna May, CNM, ANP
• William Maydwell
• John Richard Mayer, MD
• Natalie Seibert Mayer, MD
• Maygren Family Eye Care
• Saada Mayhak
• John Gerald Mayo

• Surgery Physician in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Surgery Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2014; 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.