Active NPI
Peter D Marbarger, M.D.
- Surgery Physician
- Anchorage, AK
National Provider Identifier
1396895272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 1750
- Practice address
- 3841 Piper St
Suite T-100
Anchorage, AK 99508-4624 - Phone
- (907) 561-3211
- Fax
- (907) 562-7547
- NPI assigned
- Jan 11, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 1750 | AK | Primary |
| Trauma Surgery Physician | 2086S0127X | 1750 | AK | |
| Vascular Surgery Physician | 2086S0129X | 1750 | AK |
Addresses
Primary practice location
3841 Piper St
Suite T-100
Anchorage, AK 99508-4624
Mailing address
PO Box 200149
Anchorage, AK 99520-0149
Phone (907) 561-3211
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AA1750 | Other | AK | MEDICAL LICENSE |
| 1010675 | Medicaid | AK |
Other names 1
- Dr. Peter D Marbarger
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395705600000",
"number": "1396895272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 200149",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995200149",
"telephone_number": "907-561-3211",
"fax_number": "907-562-7547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3841 PIPER ST",
"address_2": "SUITE T-100",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995084624",
"telephone_number": "907-561-3211",
"fax_number": "907-562-7547"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARBARGER",
"first_name": "PETER",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-11",
"last_updated": "2014-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "AK",
"license": "1750",
"primary": true
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "AK",
"license": "1750",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "AK",
"license": "1750",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "AA1750",
"state": "AK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1010675",
"state": "AK"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "PETER",
"last_name": "MARBARGER",
"middle_name": "D",
"prefix": "DR.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
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 Mar 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.