Individual provider Active NPI

James N. Duchanin, PA-C

  • Physician Assistant
  • Anchorage, AK
National Provider Identifier
1407000755
Registry record updated Nov 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
200 Issued in AK
Practice address
3105 Lakeshore Dr.
BLDG a, Ste 101
Anchorage, AK 99517
Phone
(907) 426-9265
Fax
(907) 426-8366
NPI assigned
Nov 13, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 200 AK Primary

Addresses

Primary practice location

3105 Lakeshore Dr.
BLDG a, Ste 101
Anchorage, AK 99517

Mailing address

3105 Lakeshore Dr.
BLDG a, Ste 101
Anchorage, AK 99517
Phone (907) 426-9265

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
200AKMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1226534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226534400000",
    "number": "1407000755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3105 LAKESHORE DR.",
            "address_2": "BLDG A, STE 101",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99517",
            "telephone_number": "907-426-9265",
            "fax_number": "907-426-8366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 LAKESHORE DR.",
            "address_2": "BLDG A, STE 101",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99517",
            "telephone_number": "907-426-9265",
            "fax_number": "907-426-8366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUCHANIN",
        "first_name": "JAMES",
        "middle_name": "N.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-13",
        "last_updated": "2008-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AK",
            "license": "200",
            "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 Nov 13, 2008; 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.