NPIMap

Organization Active NPI

Jeffrey S. Moore MD and Elisha T. Powell IV MD LLC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Anchorage, AK
National Provider Identifier
1467502567
Registry record updated Aug 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
3797 Issued in AK
Legal business name
JEFFREY S. MOORE MD AND ELISHA T. POWELL IV MD LLC
Practice address
2751 Debarr Rd
Suite 310
Anchorage, AK 99508-2953
Phone
(907) 279-2663
Fax
(907) 222-1774
NPI assigned
Jan 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2011

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

Authorized official

Name
Mrs. Andrea Rita McGuire
Title
Billing Manager
Phone
(907) 862-2663

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XX0005X 3797 AK Primary

Addresses

Primary practice location

2751 Debarr Rd
Suite 310
Anchorage, AK 99508-2953

Mailing address

PO Box 772292
Eagle River, AK 99577-2292
Phone (907) 862-2663

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314576000000",
    "number": "1467502567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 772292",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995772292",
            "telephone_number": "907-862-2663",
            "fax_number": "907-222-1774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2751 DEBARR RD",
            "address_2": "SUITE 310",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082953",
            "telephone_number": "907-279-2663",
            "fax_number": "907-222-1774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY S. MOORE MD AND ELISHA T. POWELL IV MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2011-08-29",
        "status": "A",
        "authorized_official_last_name": "MCGUIRE",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "RITA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "907-862-2663",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "AK",
            "license": "3797",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 29, 2011; 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.