Active NPI
Steven Menaker, M.D.
- Surgery Physician
- Anchorage, AK
National Provider Identifier
1477653186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD1397
- Practice address
- 2400 E 42ND Ave
Anchorage, AK 99508-5206 - Phone
- (907) 561-1255
- Fax
- (907) 561-4828
- NPI assigned
- Sep 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD1397 | AK | Primary |
Addresses
Primary practice location
2400 E 42ND Ave
Anchorage, AK 99508-5206
Mailing address
2400 E 42ND Ave
Anchorage, AK 99508-5206
Phone (907) 561-1255
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD1397 | Medicaid | AK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD1397 | AK | MD | Surgery Physician |
| 1397 | AK | MD | Acute Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1477653186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 E 42ND AVE",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995085206",
"telephone_number": "907-561-1255",
"fax_number": "907-561-4828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 E 42ND AVE",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995085206",
"telephone_number": "907-561-1255",
"fax_number": "907-561-4828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENAKER",
"first_name": "STEVEN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-23",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "AK",
"license": "MD1397",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MD1397",
"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 Jul 9, 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.