Internal Medicine Primary Care

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

1036818 Issued in AK

Legal business name

INTERNAL MEDICINE PRIMARY CARE

Practice address

2925 Debarr Rd
BLD D, 215
Anchorage, AK 99508-2959

Phone

(907) 764-3292

NPI assigned

May 13, 2016

Organization subpart

No

Name

Dr. Irina Ivanovna Grimberg, M.D.NPI 1144313198

Title

President

Phone

(907) 764-3292

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

• Irina Ivanovna Grimberg, MD

  • Internal Medicine Physician
  • Anchorage, AK
  • NPI 1144313198

  Internal Medicine

  NPD (past) Authorized official

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 13, 2016.

{
    "created_epoch": "1463097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463097600000",
    "number": "1306292818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 DEBARR RD",
            "address_2": "BLD D, SUITE 215",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082959",
            "telephone_number": "907-764-3292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 DEBARR RD",
            "address_2": "BLD D, 215",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082959",
            "telephone_number": "907-764-3292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-13",
        "last_updated": "2016-05-13",
        "status": "A",
        "authorized_official_last_name": "GRIMBERG",
        "authorized_official_first_name": "IRINA",
        "authorized_official_middle_name": "IVANOVNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "907-764-3292",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "AK",
            "license": "1036818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Intel-Care Alaska LLC
• Intensivist Medicine of Ak LLC
• Intentful Nutrition LLC
• Interior Medical Supply LLC
• Internal Medicine Associates, LLC
• Interventional Pain Consultants of Alaska
• Intrepid Psychological Services LLC
• Intune Chiropractic LLC
• Fiaavae Ioane
• Genevieve Ioane

• All providers in Anchorage, AK
• Internal Medicine Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.