Organization Active NPI

Alaska Oncology and Hematology LLC

  • Hematology & Oncology Physician
  • Anchorage, AK
National Provider Identifier
1487713848
Registry record updated Nov 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
282420 Issued in AK
Legal business name
ALASKA ONCOLOGY AND HEMATOLOGY LLC
Practice address
2925 Debarr Road
Suite 300
Anchorage, AK 99508
Phone
(907) 279-3155
Fax
(907) 279-3154
NPI assigned
Dec 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2021

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

Authorized official

Name
Wendy A Johnson
Title
Reimbursement Manager
Phone
(907) 257-9804

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0003X 282420 AK Primary

Addresses

Primary practice location

2925 Debarr Road
Suite 300
Anchorage, AK 99508

Mailing address

PO Box 196618
Anchorage, AK 99519-6618
Phone (907) 279-3155

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address AOH@DIRECTADDRESS.NET

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040416000215 AK Part B Supplier - Clinic/Group Practice 0648265090 Receives reassigned benefits from 6 practitioners
Practice locations: Anchorage, AK

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
02D2200303Alaska Oncology and Hematology, LLC2925 Debarr Rd, Ste 300, Anchorage, AK 99508Certificate of waiverNov 12, 2026

National Provider Directory

National Provider Directory

Locations

2925 Debarr Rd
Anchorage, AK 99508
Phone (907) 257-4854

2925 Debarr Rd
Ste 300
Anchorage, AK 99508
Phone (907) 279-3155

Interoperability endpoints

  • Direct secure messaging: aoh@directaddress.net

Practitioners & affiliated clinicians

Practitioners 10

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": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637539200000",
    "number": "1487713848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 196618",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995196618",
            "telephone_number": "907-279-3155",
            "fax_number": "907-279-3154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 DEBARR ROAD",
            "address_2": "SUITE 300",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99508",
            "telephone_number": "907-279-3155",
            "fax_number": "907-279-3154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALASKA ONCOLOGY AND HEMATOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "REIMBURSEMENT MANAGER",
        "authorized_official_telephone_number": "907-257-9804"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "AK",
            "license": "282420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "AOH@DIRECTADDRESS.NET",
            "affiliation": "N",
            "address_1": "2925 DeBarr Road",
            "address_2": "Suite 300",
            "city": "Anchorage",
            "state": "AK",
            "country_code": "US",
            "postal_code": "99508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Nov 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.