Individual provider Active NPI

Frank Fir Mesdag, FRANK MESDAG

  • Foot & Ankle Surgery Podiatrist
  • Juneau, AK
National Provider Identifier
1417042912
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
AA1612 Issued in AK
Practice address
8800 Glacier Highway
Suite 218
Juneau, AK 99801-8080
Phone
(907) 789-0405
Fax
(907) 789-2925
NPI assigned
Oct 3, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X AA1612 AK Primary

Addresses

Primary practice location

8800 Glacier Highway
Suite 218
Juneau, AK 99801-8080

Mailing address

P.O. Box 32497
Juneau, AK 99803-2497
Phone (907) 790-3586

Other identifiers 1

IdentifierTypeStateIssuer
PD1612MedicaidAK

Other names 1

  • Dr. Feiko Fir Mesdag Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060310000010 AK Practitioner - Podiatry 7214944669 Practice locations: Juneau, AK; Ketchikan, AK; Sitka, AK

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8800 Glacier Hwy
Suite 218
Juneau, AK 99801-8080
Phone (907) 789-0405

8800 Glacier Hwy 218
Juneau Foot and Ankle Clinic
Juneau, AK 99801-8080

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue93
Removal or shaving of skin growth37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1612AKMDPharmacist
AA1612AKMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Juneau Foot & Ankle Center Past Accepting new patients
Guardian Flight Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417042912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 32497",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998032497",
            "telephone_number": "907-790-3586",
            "fax_number": "907-790-3335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8800 GLACIER HIGHWAY",
            "address_2": "SUITE 218",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998018080",
            "telephone_number": "907-789-0405",
            "fax_number": "907-789-2925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESDAG",
        "first_name": "FRANK",
        "middle_name": "FIR",
        "name_prefix": "Dr.",
        "credential": "FRANK MESDAG",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AK",
            "license": "AA1612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PD1612",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FEIKO",
            "last_name": "MESDAG",
            "middle_name": "FIR",
            "prefix": "DR.",
            "credential": "FRANK MESDAG",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Juneau, AK

Sources for this page

Verify at the official NPI Registry.