Organization Active NPI

Alaska Surgical Oncology LLC

  • Surgical Oncology Physician
  • Anchorage, AK
National Provider Identifier
1346693447
Registry record updated Jul 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
Legal business name
ALASKA SURGICAL ONCOLOGY LLC
Practice address
1917 Abbott Rd
Suite 100
Anchorage, AK 99507-3449
Phone
(907) 868-2075
NPI assigned
Jul 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2016

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

Authorized official

Name
Charles Portera, MDNPI 1467412734
Title
MD/Owner
Phone
(907) 868-2075

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086X0206X Primary

Addresses

Primary practice location

1917 Abbott Rd
Suite 100
Anchorage, AK 99507-3449

Mailing address

PO Box 2509
Kenai, AK 99611-2509

National Provider Directory

National Provider Directory

Locations

3851 Piper St
Ste U230
Anchorage, AK 99508
Phone (907) 868-2075

240 Hospital Pl
Ste 103
Soldotna, AK 99669
Phone (907) 260-5455

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1468368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468368000000",
    "number": "1346693447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2509",
            "city": "KENAI",
            "state": "AK",
            "postal_code": "996112509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1917 ABBOTT RD",
            "address_2": "SUITE 100",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995073449",
            "telephone_number": "907-868-2075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALASKA SURGICAL ONCOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-13",
        "last_updated": "2016-07-13",
        "status": "A",
        "authorized_official_last_name": "PORTERA",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "907-868-2075",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Surgical Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 13, 2016; 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.