Organization Active NPI

Patrick M Nolan DO Inc

  • Endocrinology, Diabetes & Metabolism Physician
  • Anchorage, AK
National Provider Identifier
1427111830
Registry record updated Feb 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
AA1470 Issued in AK
Legal business name
PATRICK M NOLAN DO INC
Practice address
3300 Providence Drive
Sui 206
Anchorage, AK 99508-4620
Phone
(907) 561-6100
Fax
(907) 563-4265
NPI assigned
Dec 18, 2006
Last updated
Feb 27, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2008

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

Authorized official

Name
Patrick M Nolan, DO
Title
Physician
Phone
(907) 561-6100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X AA1470 AK
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RE0101X AA1470 AK Primary

Addresses

Primary practice location

3300 Providence Drive
Sui 206
Anchorage, AK 99508-4620

Mailing address

3300 Providence Drive
#206
Anchorage, AK 99508-4620
Phone (907) 561-6100

Other identifiers 1

IdentifierTypeStateIssuer
MD1470MedicaidAK

National Provider Directory

National Provider Directory

Locations

3300 Providence Dr
Ste 206
Anchorage, AK 99508
Phone (907) 561-6100

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204070400000",
    "number": "1427111830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 PROVIDENCE DRIVE",
            "address_2": "#206",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084620",
            "telephone_number": "907-561-6100",
            "fax_number": "907-563-4265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 PROVIDENCE DRIVE",
            "address_2": "SUI 206",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084620",
            "telephone_number": "907-561-6100",
            "fax_number": "907-563-4265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK M NOLAN DO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2008-02-27",
        "status": "A",
        "authorized_official_last_name": "NOLAN",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "907-561-6100",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "AK",
            "license": "AA1470",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "AK",
            "license": "AA1470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD1470",
            "state": "AK"
        }
    ],
    "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 Feb 27, 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.