Fairbanks Cancer Care Physicians

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

926150 Issued in AK

Legal business name

FAIRBANKS CANCER CARE PHYSICIANS

Practice address

1640 Cowles St
Suite 1
Fairbanks, AK 99701-5925

Phone

(907) 452-4768

Fax

(907) 452-1009

NPI assigned

Aug 20, 2006

Organization subpart

No

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

Authorized official

Name

Jacqueline Cox, MDNPI 1538153564

Title

Co-Owner

Phone

(907) 452-4768

Specialties & licenses 1

Addresses

Other identifiers 6

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

Practitioners 7

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

• Jacqueline Ann Cox, MD

  • Hematology & Oncology Physician
  • Fairbanks, AK
  • NPI 1538153564
  Medicare reassignment Care Compare group NPD Authorized official
• W William Andrew Cox, MD

  • Hematology & Oncology Physician
  • Suite 1, AK
  • NPI 1114912094
  Medicare reassignment Care Compare group NPD
• Britni Ranae Browning, PA-C

  • Physician Assistant
  • Fairbanks, AK
  • NPI 1215329529
  Medicare reassignment Care Compare group
• Angela Emerson, PA-C

  • Physician Assistant
  • Fairbanks, AK
  • NPI 1669100921
  Medicare reassignment Care Compare group
• Aimee Johnson

  • Physician Assistant
  • Fairbanks, AK
  • NPI 1427539261
  Medicare reassignment Care Compare group
• Brittany Shantel Burglin Stepovich, ANP

  • Nurse Practitioner
  • Fairbanks, AK
  • NPI 1174830673
  Medicare reassignment NPD
• Nancy Lee Schupp, ANP

  • Nurse Practitioner
  • Fairbanks, AK
  • NPI 1669587036
  NPD (past)

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364256000000",
    "number": "1386759470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 COWLES ST",
            "address_2": "SUITE 1",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997015925",
            "telephone_number": "907-452-4768",
            "fax_number": "907-452-1009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 COWLES ST",
            "address_2": "SUITE 1",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997015925",
            "telephone_number": "907-452-4768",
            "fax_number": "907-452-1009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRBANKS CANCER CARE PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2013-03-26",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "907-452-4768",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "AK",
            "license": "926150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD6153",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MDG543",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP7619",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD14421",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD69431",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MPG0088",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Waverly Fair
• Fairbanks Acupuncture and Herbal Medicine
• Fairbanks Ak Caregiving LLC
• Fairbanks Anesthesia Inc.
• Fairbanks Assisted Living, LLC
• Fairbanks Center for Couple and Family Therapy
• Fairbanks Chiropractic Clinic, Incorporated
• Fairbanks Clinic Inc
• Fairbanks Community Behavior Health Center
• Fairbanks Community Behavioral Health Center

• Hematology & Oncology Physician in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Hematology & Oncology Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; 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.