Timothy J Faggionato, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

444 Issued in AK

Practice address

3260 Providence Dr
Suite 200
Anchorage, AK 99508-4615

Phone

(907) 563-3145

Fax

(907) 561-3967

NPI assigned

Jun 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Anchorage Fracture and Orthopaedic Clinic, PC

  dba Alaska Fracture and Orthopedic Clinic

  • Orthopaedic Surgery Physician
  • Anchorage, AK
  • NPI 1285677054
  NPD (past)

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193011200000",
    "number": "1437194990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3260 PROVIDENCE DR",
            "address_2": "SUITE 200",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084615",
            "telephone_number": "907-563-3145",
            "fax_number": "907-561-3967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3260 PROVIDENCE DR",
            "address_2": "SUITE 200",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084615",
            "telephone_number": "907-563-3145",
            "fax_number": "907-561-3967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAGGIONATO",
        "first_name": "TIMOTHY",
        "middle_name": "J",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-18",
        "last_updated": "2007-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AK",
            "license": "444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Erich Faber, PHARMD
• Charmaine Fabricante
• Rachel Fadeley, MSN, APRN, WHNP-BC
• Eric Scott Fagerstrom, DMD
• Jennifer Faggert
• Gregory Edward Fahl
• James Fahl
• Fairbanks Oral Surgery, LLC
• Lizbeth Fairley
• Fairweather LLC

• Surgical Physician Assistant in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Surgical Physician Assistant in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; 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.