Innovative Neurosurgery Associates, LLC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

INNOVATIVE NEUROSURGERY ASSOCIATES, LLC

Practice address

1200 Airport Heights Drive
Suite E-355
Anchorage, AK 99508

Phone

(907) 243-0339

Fax

(907) 243-0337

NPI assigned

Jun 29, 2021

Last updated

Jun 29, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David Paulson, M.D.NPI 1073771481

Title

President / Owner

Phone

(907) 243-0339

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Locations

Practitioners 2

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.

• David Paul Paulson, M.D.

  • Neurological Surgery Physician
  • Anchorage, AK
  • NPI 1073771481

  Single Specialty

  Medicare reassignment NPD Authorized official
• Darcie K Sorensen, PA-C

  • Surgical Physician Assistant
  • Anchorage, AK
  • NPI 1154657054
  Medicare reassignment

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624924800000",
    "number": "1295305514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 110909",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995110909",
            "telephone_number": "907-243-0339",
            "fax_number": "907-243-0337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 AIRPORT HEIGHTS DRIVE",
            "address_2": "SUITE E-355",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99508",
            "telephone_number": "907-243-0339",
            "fax_number": "907-243-0337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE NEUROSURGERY ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-29",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A",
        "authorized_official_last_name": "PAULSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT / OWNER",
        "authorized_official_telephone_number": "907-243-0339",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Inn-Tegrity, LLC
• Inner Light Therapy LLC (Inner Light Transformation and Therapy Center)
• Inneractions Counseling and Eap Associates
• Innerbloom Chiropractic
• Innova Health Renewal LLC (Innova Health Renewal Center)
• Innovative Neurosurgery Associates, LLC
• Moana Inoke
• Noreen Inoke
• Tu'Uta Inoke
• Serena Inoue

• Neurological Surgery Physician in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Neurological Surgery Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; 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.