Active NPI
John C Godersky, MD
- Neurological Surgery Physician
- Anchorage, AK
National Provider Identifier
1386695708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 2484
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2484 | AK | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anchorage Neurosurgical Associates Inc | Neurological Surgery | Past | Accepting new patients |
| Orthoalaska LLC | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Neurological Surgery Physician
- Anchorage, AK
- NPI 1194775379
-
- Rheumatology Physician
- Anchorage, AK
- NPI 1265293252
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.