NPIMap

Organization Active NPI

Interior Women'S Health, LLC

  • Non-Surgical Family Planning Clinic/Center
  • Fairbanks, AK
National Provider Identifier
1487737284
Registry record updated Oct 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Surgical Family Planning Clinic/CenterTaxonomy code 261QF0050X
License
297091 Issued in AK
Legal business name
INTERIOR WOMEN'S HEALTH, LLC
Practice address
1919 Lathrop St
Ste. 205
Fairbanks, AK 99701-5930
Phone
(907) 479-7701
Fax
(907) 479-7718
NPI assigned
Oct 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2011

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

Authorized official

Name
Dr. Karl Bruno Baurick, M.D.NPI 1831272863
Title
Owner
Phone
(907) 479-7701

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Surgical Family Planning Clinic/Center 261QF0050X 297091 AK Primary
Medical Specialty Clinic/Center 261QM2500X 297091 AK
Primary Care Clinic/Center 261QP2300X 297091 AK

Addresses

Primary practice location

1919 Lathrop St
Ste. 205
Fairbanks, AK 99701-5930

Mailing address

1919 Lathrop St
Ste. 205
Fairbanks, AK 99701-5930
Phone (907) 479-7701

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040303000223 AK Part B Supplier - Clinic/Group Practice 1658268735 Receives reassigned benefits from 6 practitioners
Practice locations: Fairbanks, AK

National Provider Directory

National Provider Directory

Locations

1919 Lathrop St
Ste 108
Fairbanks, AK 99701
Phone (907) 452-4446

1919 Lathrop St
Ste 205
Fairbanks, AK 99701
Phone (906) 416-5611

Practitioners & affiliated clinicians

Practitioners 8

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": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318204800000",
    "number": "1487737284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 LATHROP ST",
            "address_2": "STE. 205",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997015930",
            "telephone_number": "907-479-7701",
            "fax_number": "907-479-7718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 LATHROP ST",
            "address_2": "STE. 205",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997015930",
            "telephone_number": "907-479-7701",
            "fax_number": "907-479-7718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERIOR WOMEN'S HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2011-10-10",
        "status": "A",
        "authorized_official_last_name": "BAURICK",
        "authorized_official_first_name": "KARL",
        "authorized_official_middle_name": "BRUNO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-479-7701",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QF0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Family Planning, Non-Surgical",
            "state": "AK",
            "license": "297091",
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "AK",
            "license": "297091",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AK",
            "license": "297091",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairbanks, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.