Stephanie Gho, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

464 Issued in AK

Practice address

1650 Cowles St
Suite 300
Fairbanks, AK 99701-5999

Phone

(907) 458-5178

Fax

(907) 458-5180

NPI assigned

Feb 20, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Laser Vein Center of Fairbanks, LLC

  • Primary Care Clinic/Center
  • Fairbanks, AK
  • NPI 1124161716
  NPD
• Northern Hospital Associates LLC

  • Hospitalist Physician
  • Fairbanks, AK
  • NPI 1538204474
  NPD
• Pierre M. Johnson, MD PC

  • Internal Medicine Physician
  • Fairbanks, AK
  • NPI 1417133323
  NPD
• Midnight Sun Family Medicine, PC

  • Family Medicine Physician
  • Fairbanks, AK
  • NPI 1780704494
  NPD (past)
• Solstice Medicine & Wellness, LLC

  • Medical Specialty Clinic/Center
  • Fairbanks, AK
  • NPI 1710347349
  NPD (past)

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

{
    "created_epoch": "1140393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1306811732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2555 PHILLIPS FIELD RD",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997093933",
            "telephone_number": "907-459-3507",
            "fax_number": "907-459-3532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 COWLES ST",
            "address_2": "SUITE 300",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997015999",
            "telephone_number": "907-458-5178",
            "fax_number": "907-458-5180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHO",
        "first_name": "STEPHANIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-20",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AK",
            "license": "464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MDA0008",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gerik Dental, Inc
• Jonathan J Gerik, D.D.S.
• Stephen S Gerrish, MD
• Ashley Nicole Gerrits
• Bhawana Ghimire
• David C Gianni, DDS
• Lindsay Bingham Gianni, DDS
• Katrina Gibson
• Valerie M Gifford, LCSW
• Phillip E Gilbert

• Medical Physician Assistant in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Medical Physician Assistant in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.