Organization Active NPI

Laurie J. Bleicher, M.D., LLC

  • Surgery Physician
  • Anchorage, AK
National Provider Identifier
1306018106
Registry record updated Apr 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
2038 Issued in AK
Legal business name
LAURIE J. BLEICHER, M.D., LLC
Practice address
3851 Piper St
Suite U-422
Anchorage, AK 99508-6904
Phone
(907) 561-2533
NPI assigned
Apr 1, 2008
Last updated
Apr 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2008

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

Authorized official

Name
Dr. Laurie J. Bleicher, M.D.NPI 1861566143
Title
Sole Member
Phone
(907) 561-2533

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X 2038 AK Primary
Plastic and Reconstructive Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0122X 2038 AK
Surgical Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086X0206X 2038 AK

Addresses

Primary practice location

3851 Piper St
Suite U-422
Anchorage, AK 99508-6904

Mailing address

3851 Piper St
Suite U-422
Anchorage, AK 99508-6904
Phone (907) 561-2533

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080428000050 AK Part B Supplier - Clinic/Group Practice 1951489293 Receives reassigned benefits from 1 practitioner
Practice locations: Anchorage, AK

National Provider Directory

National Provider Directory

Locations

3851 Piper St
Ste U422
Anchorage, AK 99508
Phone (907) 561-0111

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1306018106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3851 PIPER ST",
            "address_2": "SUITE U-422",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995086904",
            "telephone_number": "907-561-2533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3851 PIPER ST",
            "address_2": "SUITE U-422",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995086904",
            "telephone_number": "907-561-2533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURIE J. BLEICHER, M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-01",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "BLEICHER",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "907-561-2533",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "AK",
            "license": "2038",
            "primary": true
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "AK",
            "license": "2038",
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Surgical Oncology",
            "state": "AK",
            "license": "2038",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; 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.