Anchorage Housecall Medicine LLC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PAD 441 Issued in AK

Legal business name

ANCHORAGE HOUSECALL MEDICINE LLC

Practice address

1444 S Creek Rd
Eagle River, AK 99577-9461

Phone

(907) 696-1080

Fax

(907) 696-1080

NPI assigned

Sep 26, 2007

Last updated

Sep 26, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. John A Winczura, PA-CNPI 1336270347

Title

Owner/Manager

Phone

(907) 696-1080

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Andrew Winczura, PA-C

  • Medical Physician Assistant
  • Eagle River, AK
  • NPI 1336270347
  NPD (past) Authorized official

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190764800000",
    "number": "1437346111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1444 S CREEK RD",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995779461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1444 S CREEK RD",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995779461",
            "telephone_number": "907-696-1080",
            "fax_number": "907-696-1080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANCHORAGE HOUSECALL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2007-09-26",
        "status": "A",
        "authorized_official_last_name": "WINCZURA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "907-696-1080",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AK",
            "license": "PAD 441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physician Assistant in Eagle River, AK
• Providers in Eagle River, AK by specialty
• Physician Assistant in Alaska

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