NPIMap

Organization Active NPI

Mat-Su Surgical Associates Apc

  • Surgery Physician
  • Wasilla, AK
National Provider Identifier
1396849428
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
5147 Issued in AK
Legal business name
MAT-SU SURGICAL ASSOCIATES APC
Practice address
3674 E Meridian Loop
Wasilla, AK 99654-7272
Phone
(907) 373-8100
NPI assigned
Sep 11, 2006
Last updated
Jul 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Authorized official

Name
Garth W LecheminantNPI 1023076007
Title
Physician Owner
Phone
(907) 373-8100

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
Surgery Physician 208600000X 5147 AK Primary

Addresses

Primary practice location

3674 E Meridian Loop
Wasilla, AK 99654-7272

Mailing address

PO Box 876774
Wasilla, AK 99687-6774
Phone (907) 373-8100

Other identifiers 1

IdentifierTypeStateIssuer
MD5147MedicaidAK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061127000398 AK Part B Supplier - Clinic/Group Practice 6901804046 Receives reassigned benefits from 6 practitioners
Practice locations: Wasilla, AK

National Provider Directory

National Provider Directory

Locations

3674 E Meridian Loop
Wasilla, AK 99654
Phone (907) 373-8100

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785196800000",
    "number": "1396849428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 876774",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996876774",
            "telephone_number": "907-373-8100",
            "fax_number": "907-373-3674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3674 E MERIDIAN LOOP",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547272",
            "telephone_number": "907-373-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAT-SU SURGICAL ASSOCIATES APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-11",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A",
        "authorized_official_last_name": "LECHEMINANT",
        "authorized_official_first_name": "GARTH",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "907-373-8100"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AK",
            "license": "5147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD5147",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wasilla, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.