Mikhail Glasionov, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

3953 Issued in AK

Practice address

2801 Debarr Rd
Anchorage, AK 99508-2932

Phone

(907) 258-2149

Fax

(907) 258-2147

NPI assigned

Oct 18, 2005

Last updated

Dec 13, 2007By the provider in NPPES

Sex

Male

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 2

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Anesthesiology

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chugach Anesthesia LLCGroup PAC ID 2961465653, 24 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Chugach Anesthesia, LLC

  • Anesthesiology Physician
  • Anchorage, AK
  • NPI 1093712358
  Medicare reassignment Care Compare group NPD
• Denali Anesthesia, LLC

  • Anesthesiology Physician
  • Fairbanks, AK
  • NPI 1508854712
  Medicare reassignment NPD
• New Frontier Anesthesia, LLC

  • Anesthesiology Physician
  • Anchorage, AK
  • NPI 1255604948
  Medicare reassignment NPD
• Alaska Spine Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Anchorage, AK
  • NPI 1093710717
  NPD (past)

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197504000000",
    "number": "1326037896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 202149",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995202149",
            "telephone_number": "907-258-2149",
            "fax_number": "907-258-2147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 DEBARR RD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082932",
            "telephone_number": "907-258-2149",
            "fax_number": "907-258-2147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASIONOV",
        "first_name": "MIKHAIL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-18",
        "last_updated": "2007-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AK",
            "license": "3953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA MEDICAID",
            "identifier": "8428443",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD0365",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gail J Gladle, LPC
• Ronald I Glaeser, D.D.S.
• Kimberly Michelle Glasco, LMT
• Zoe K Glasen
• Leslie A Glasgow, MD
• Alee Glass, MS, SLP
• James Glaves
• Yevgeniy Glavnik
• Adrienne Michelle Glazener
• Ryan M Gleason, LPC

• Anesthesiology Physician in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Anesthesiology Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; 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.
• 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.