Independence Park Medical Services Inc

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

INDEPENDENCE PARK MEDICAL SERVICES INC

Practice address

9500 Independence Dr
Ste 900
Anchorage, AK 99507-4615

Phone

(907) 522-1341

Fax

(907) 522-1343

NPI assigned

Aug 25, 2005

Last updated

Aug 22, 2020By 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

Ms. Helen R Spencer

Title

Clinic Manager

Phone

(907) 522-1342

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

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

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/fdbc9673-c618-4425-b458-9d4512be1bb3/

Practitioners 11

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.

• Pebbles Dakota Shanley, M.D.

  • Family Medicine Physician
  • Anchorage, AK
  • NPI 1962842260
  Medicare reassignment Care Compare group NPD
• Juliana K Shields, MD

  • Family Medicine Physician
  • Anchorage, AK
  • NPI 1356578306
  Medicare reassignment Care Compare group NPD
• Jennifer Marie Davis, P.A.-C

  • Physician Assistant
  • Anchorage, AK
  • NPI 1306123005
  Medicare reassignment Care Compare group
• Bradford W Fenton, M.D.

  • Obstetrics & Gynecology Physician
  • Anchorage, AK
  • NPI 1891750568
  Medicare reassignment Care Compare group
• Leslie Ann Langum, PA-C

  • Medical Physician Assistant
  • Anchorage, AK
  • NPI 1184921314
  Medicare reassignment Care Compare group
• Kathryn Alexander Ryan, D.O.

  • Family Medicine Physician
  • Anchorage, AK
  • NPI 1629418215
  Medicare reassignment Care Compare group
• Natasha Renae Sherrill, APRN

  • Family Nurse Practitioner
  • Anchorage, AK
  • NPI 1609380385
  Medicare reassignment Care Compare group
• Therese D Ilalio, LPTA

  • Physical Therapist
  • Anchorage, AK
  • NPI 1811142912
  NPD (past)
• Barbara Jo Pichon, RD LD

  • Registered Dietitian
  • Anchorage, AK
  • NPI 1376788174
  NPD (past)
• Dalton Maples Jr., PA-C

  • Physician Assistant
  • Fort Carson, CO
  • NPI 1932139748
  NPD (past)
• Heather E Patterson, DPT ATC

  • Physical Therapist
  • Cedar Park, TX
  • NPI 1407840861
  NPD (past)

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

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366435273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 INDEPENDENCE DR",
            "address_2": "STE 900",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995074615",
            "telephone_number": "907-522-1341",
            "fax_number": "907-522-1343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 INDEPENDENCE DR",
            "address_2": "STE 900",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995074615",
            "telephone_number": "907-522-1341",
            "fax_number": "907-522-1343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENCE PARK MEDICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "HELEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "907-522-1342",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• In Blessed Hands Alh
• In His Image LLC
• Chakri Inampudi, MD
• Independence Lodge, LLC
• Independence Park Assisted Living
• Independent Care Coordination, LLC
• Independent Intelligence LLC
• Independent Life Transporation (Independent Life)
• Naya Indira
• Infinite Assisted Living Home, LLC

• Multi-Specialty Clinic/Center in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Multi-Specialty Clinic/Center in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.