Individual provider Active NPI

John C Godersky, MD

  • Neurological Surgery Physician
  • Anchorage, AK
National Provider Identifier
1386695708
Registry record updated Jan 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
2484 Issued in AK
Practice address
3831 Piper St
Suite S-220
Anchorage, AK 99508-4672
Phone
(907) 258-6999
Fax
(907) 258-6247
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 2484 AK Primary

Addresses

Primary practice location

3831 Piper St
Suite S-220
Anchorage, AK 99508-4672

Mailing address

3831 Piper St
Suite S-220
Anchorage, AK 99508-4672
Phone (907) 258-6999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2484AKMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anchorage Neurosurgical Associates Inc Neurological Surgery Past Accepting new patients
Orthoalaska LLC PastSince Jan 21, 2024 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294876800000",
    "number": "1386695708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3831 PIPER ST",
            "address_2": "SUITE S-220",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084672",
            "telephone_number": "907-258-6999",
            "fax_number": "907-258-6247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3831 PIPER ST",
            "address_2": "SUITE S-220",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084672",
            "telephone_number": "907-258-6999",
            "fax_number": "907-258-6247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODERSKY",
        "first_name": "JOHN",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2011-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "AK",
            "license": "2484",
            "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 Jan 13, 2011; 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.