Active NPI
Judith Whitcomb, M.D.
- Specialist
- Anchorage, AK
National Provider Identifier
1336225291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 1697
- Practice address
- 3300 Providence Dr
Suite 108
Anchorage, AK 99508-4616 - Phone
- (907) 563-3028
- Fax
- (907) 563-0236
- NPI assigned
- Oct 31, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 1697 | AK | Primary |
Addresses
Primary practice location
3300 Providence Dr
Suite 108
Anchorage, AK 99508-4616
Mailing address
6963 Lovitt Cir
Anchorage, AK 99507-6749
Phone (907) 563-3028
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD1697 | Medicaid | AK |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100302000744 | AK | Practitioner - General Surgery | 6305981333 | Practice locations: Anchorage, AK |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1697 | AK | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192579200000",
"number": "1336225291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6963 LOVITT CIR",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995076749",
"telephone_number": "907-563-3028",
"fax_number": "907-563-0236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 PROVIDENCE DR",
"address_2": "SUITE 108",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995084616",
"telephone_number": "907-563-3028",
"fax_number": "907-563-0236"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITCOMB",
"first_name": "JUDITH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-31",
"last_updated": "2007-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "AK",
"license": "1697",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MD1697",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.