NPIMap

Organization Active NPI

Northern Anesthesia and Pain Medicine, LLC

  • Anesthesiology Physician
  • Eagle River, AK
National Provider Identifier
1407171069
Registry record updated Oct 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
940734 Issued in AK
Legal business name
NORTHERN ANESTHESIA AND PAIN MEDICINE, LLC
Practice address
10928 Eagle River Rd
Suite 240
Eagle River, AK 99577-8078
Phone
(907) 622-7246
Fax
(907) 622-7247
NPI assigned
Apr 6, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2016

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

Authorized official

Name
Dr. Heath McAnally, M.D.
Title
Manager
Phone
(907) 622-7246

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X 940734 AK Primary
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X 940734 AK

Addresses

Primary practice location

10928 Eagle River Rd
Suite 240
Eagle River, AK 99577-8078

Mailing address

10928 Eagle River Rd
Suite 240
Eagle River, AK 99577-8078
Phone (907) 622-7246

National Provider Directory

National Provider Directory

Locations

12103 Horseshoe Dr
Eagle River, AK 99577
Phone (907) 622-7246

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1270512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477440000000",
    "number": "1407171069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10928 EAGLE RIVER RD",
            "address_2": "SUITE 240",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995778078",
            "telephone_number": "907-622-7246",
            "fax_number": "907-622-7247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10928 EAGLE RIVER RD",
            "address_2": "SUITE 240",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995778078",
            "telephone_number": "907-622-7246",
            "fax_number": "907-622-7247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN ANESTHESIA AND PAIN MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-06",
        "last_updated": "2016-10-26",
        "status": "A",
        "authorized_official_last_name": "MCANALLY",
        "authorized_official_first_name": "HEATH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "907-622-7246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "AK",
            "license": "940734",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "AK",
            "license": "940734",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle River, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; 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.