Pioneer Peak Surgery Center, LLC

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

Legal business name

PIONEER PEAK SURGERY CENTER, LLC

Practice address

3035 Palmer Wasilla Hwy
Suite 301
Wasilla, AK 99654-7234

Phone

(907) 770-3213

NPI assigned

Oct 19, 2006

Organization subpart

No

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

Authorized official

Name

Shauna Baughcum

Title

Administrator

Phone

(907) 770-3213

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jon A Hinman, MD

  • Pain Medicine (Anesthesiology) Physician
  • Wasilla, AK
  • NPI 1518980556
  NPD (past)

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457433658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3035 PALMER WASILLA HWY",
            "address_2": "SUITE 301",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3035 PALMER WASILLA HWY",
            "address_2": "SUITE 301",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547234",
            "telephone_number": "907-770-3213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER PEAK SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAUGHCUM",
        "authorized_official_first_name": "SHAUNA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "907-770-3213"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "AK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jack Pike II
• Kelsey Pike
• Matthew James Pine
• Pioneer Peak Mental Health Inc.
• Pioneer Peak Orthopedics LLC
• La Piper
• Rebecca Piper
• Ashly Marie Pirtle
• Sharon Pleier, RN
• Cheryl Helaine Polk

• Pain Clinic/Center in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Pain Clinic/Center in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.