Active NPI
Tower Joint Replacement Clinic
- Adult Reconstructive Orthopaedic Surgery Physician
- Anchorage, AK
National Provider Identifier
1336532274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Reconstructive Orthopaedic Surgery Physician
- License
- S3012
- Legal business name
- TOWER JOINT REPLACEMENT CLINIC
- Practice address
- 2401 E 42ND Ave Ste 101
Anchorage, AK 99508-5228 - Phone
- (907) 222-2924
- NPI assigned
- Mar 17, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Julie Veronick
- Title
- Practice Administrator
- Phone
- (907) 222-2924
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | S3012 | AK | Primary |
Addresses
Primary practice location
2401 E 42ND Ave Ste 101
Anchorage, AK 99508-5228
Mailing address
2401 E 42ND Ave Ste 101
Anchorage, AK 99508-5228
Phone (907) 222-2924
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1631591 | Medicaid | AK | |
| MD30121 | Medicaid | AK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4100 Lake Otis Pkwy
Ste 300
Anchorage, AK 99508
Phone (907) 222-2924
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Anchorage, AK
- NPI 1477527489
-
- Orthopaedic Surgery Physician
- Anchorage, AK
- NPI 1710915962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426550400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1626825600000",
"number": "1336532274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2401 E 42ND AVE STE 101",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995085228",
"telephone_number": "907-222-2924",
"fax_number": "907-222-2934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 E 42ND AVE STE 101",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995085228",
"telephone_number": "907-222-2924"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWER JOINT REPLACEMENT CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2015-03-17",
"last_updated": "2021-07-21",
"certification_date": "2021-07-21",
"status": "A",
"authorized_official_last_name": "VERONICK",
"authorized_official_first_name": "JULIE",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "907-222-2924"
},
"taxonomies": [
{
"code": "207XS0114X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
"state": "AK",
"license": "S3012",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1631591",
"state": "AK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MD30121",
"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 Jul 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.