Active NPI
Patrick M Nolan DO Inc
- Endocrinology, Diabetes & Metabolism Physician
- Anchorage, AK
National Provider Identifier
1427111830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- AA1470
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | AA1470 | AK | |
| Endocrinology, Diabetes & Metabolism Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD1470 | Medicaid | AK |
National Provider Directory
National Provider DirectoryLocations
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.