South Anchorage Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

950109 Issued in AK

Legal business name

SOUTH ANCHORAGE SURGERY CENTER, LLC

Practice address

1917 Abbott Rd
Suite 103
Anchorage, AK 99507-3448

Phone

(907) 770-3224

NPI assigned

Mar 22, 2011

Last updated

May 20, 2026By 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

Patricia Bou

Title

Sr. Director of Revenue Cycle

Phone

(702) 271-8476

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Listed as

South Anchorage Surgery Center LLCCCN 02C0001014

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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.

• Katherine Smith, NP

  • Adult Health Nurse Practitioner
  • Anchorage, AK
  • NPI 1144719535
  NPD
• Nancy E Cross, MD

  • Pain Medicine (Anesthesiology) Physician
  • Fairbanks, AK
  • NPI 1174537674
  NPD (past)

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

{
    "created_epoch": "1300752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779235200000",
    "number": "1336448968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1917 ABBOTT RD STE 103",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995073449",
            "telephone_number": "907-929-8712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1917 ABBOTT RD",
            "address_2": "SUITE 103",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995073448",
            "telephone_number": "907-770-3224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH ANCHORAGE SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-22",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A",
        "authorized_official_last_name": "BOU",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "SR. DIRECTOR OF REVENUE CYCLE",
        "authorized_official_telephone_number": "702-271-8476"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "AK",
            "license": "950109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Anchorage Dental Center
• South Anchorage Dental Clinic LLC
• South Anchorage Family Dentistry LLC (True North Family Dental)
• South Anchorage Physical Therapy Inc
• South Anchorage Speech Solutions, LLC
• South Gate Cosmetic & Implant Dentistry LLC
• South Sound Inpatient Physicians, PLLC
• Sierra Southam, CTRS
• Brittin Timothy Southard, DO
• Mendy Ann Southard, DO

• 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 May 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.