Raymond Gilligan Jr

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

RAYMOND GILLIGAN JR

Doing business as

Ak prosthetics and orthotics

Practice address

3517 Industrial Ave
Fairbanks, AK 99701-7737

Phone

(907) 455-9255

Fax

(907) 452-1789

NPI assigned

Mar 4, 2019

Organization subpart

No

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

Authorized official

Name

Emilie H WoodwardNPI 1699243717

Title

Office Manager

Phone

(907) 455-9255

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 2

• Ak prosthetics and orthotics Doing business as
• RAYMOND GILLIGAN JR Other name

Electronic endpoints 1

Locations

Practitioners 1

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

• Emilie H Woodward

  • Case Manager/Care Coordinator
  • Fairbanks, AK
  • NPI 1699243717
  NPD Authorized official

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

{
    "created_epoch": "1551657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625443200000",
    "number": "1326506882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3517 INDUSTRIAL AVE",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997017737",
            "telephone_number": "907-455-9255",
            "fax_number": "907-452-1789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3517 INDUSTRIAL AVE",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997017737",
            "telephone_number": "907-455-9255",
            "fax_number": "907-452-1789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYMOND GILLIGAN JR",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-04",
        "last_updated": "2021-07-05",
        "certification_date": "2021-07-05",
        "status": "A",
        "authorized_official_last_name": "WOODWARD",
        "authorized_official_first_name": "EMILIE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "907-455-9255"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUSINESS LICENCE",
            "identifier": "1110253",
            "state": "AK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ewprodesk@oulook.com",
            "affiliation": "N",
            "endpointDescription": "direct email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3517 Industrial Ave",
            "city": "Fairbanks",
            "state": "AK",
            "country_code": "US",
            "postal_code": "997017737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Ak prosthetics and orthotics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RAYMOND GILLIGAN JR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Prosthetic/Orthotic Supplier in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Prosthetic/Orthotic Supplier in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2021; 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.