Alaska Spine Institute Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

719851 Issued in AK

Legal business name

ALASKA SPINE INSTITUTE SURGERY CENTER, LLC

Doing business as

Alpine Surgery Center

Practice address

3801 Lake Otis Pkwy Ste 100
Anchorage, AK 99508-5234

Phone

(907) 563-1555

Fax

(907) 563-1222

NPI assigned

Jun 17, 2005

Last updated

Dec 8, 2017By 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

Danna Carol Grant, RN CASC

Title

Administrator

Phone

(907) 341-5269

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Alpine Surgery Center Doing business as

Practitioners 1

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.

• Michel Gevaert, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Anchorage, AK
  • NPI 1598736852
  NPD (past)

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512691200000",
    "number": "1316942048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 LAKE OTIS PKWY STE 100",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085234",
            "telephone_number": "907-563-1555",
            "fax_number": "907-563-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 LAKE OTIS PKWY STE 100",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085234",
            "telephone_number": "907-563-1555",
            "fax_number": "907-563-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALASKA SPINE INSTITUTE SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-17",
        "last_updated": "2017-12-08",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "DANNA",
        "authorized_official_middle_name": "CAROL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "907-341-5269",
        "authorized_official_credential": "RN CASC"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "AK",
            "license": "719851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AS2249",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alpine Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alaska Speech and Hearing
• Alaska Spine & Pain Center, LLC
• Alaska Spine & Pain Center, LLC
• Alaska Spine Center, LLC
• Alaska Spine Institute
• Alaska Stairlift & Elevator, LLC
• Alaska Surgery Center, Limited Partnership
• Alaska Surgical Arts PC
• Alaska Surgical Group, LLC
• Alaska Surgical Hospitalists

• Ambulatory Surgical Clinic/Center in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Ambulatory Surgical Clinic/Center in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.