Spencer Audie
Individual provider Active NPI Anesthesiology Physician · Anchorage, AK
NPI 1306209440 · NPPES record last updated Nov 10, 2022
Key facts
- NPI
- 1306209440
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 189763 (AK)
- Practice address
- 3300 Providence Dr
Anchorage, AK 99508-4690 - Phone
- (907) 279-0555
- NPI assigned
- Apr 5, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 36
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- University of Washington School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bartlett Regional Hospital
Practice addresses (Care Compare)
3260 Hospital Dr
Juneau, AK 99801-7808
Phone (907) 796-8769
Hospital & facility affiliations
- Bartlett Regional Hospital
- Southeast Alaska Regional Health Consortium
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220815002299 | AK | Practitioner - Anesthesiology | 3173816352 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Anchorage Anesthesia Medical Group, P.C. | Anesthesiology | Current |
Accepting new patients |
| Bartlett Regional Hospital | Anesthesiology | Current |
Accepting new patients |
| Alpine Dermatology, LLC | Past | Accepting new patients | |
| University Hospitals Medical Group Inc | Anesthesiology | Past |
Accepting new patients |
Locations
3300 Providence Dr
Ste 207
Anchorage, AK 99508
Phone (907) 279-0555
3260 Hospital Dr
Juneau, AK 99801
Phone (907) 796-8427
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 189763 | AK | Yes |
Addresses
Primary practice location
3300 Providence Dr
Anchorage, AK 99508-4690
Mailing address
3300 Providence Dr Ste 207
Anchorage, AK 99508-4620
Other providers in Anchorage, AK
- Sharleen Atulia
- Deborah Jean Atwell
- Terri Alice Atwell
- Amanda Atwood
- Chad J Aubin
- Laura Audino
- Audiology Associates Inc
- Mele KN Augafa
- Phillip F Augafa
- Cody Michael Augdahl
All providers in Anchorage, AK · Anesthesiology Physician in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 10, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.