Active NPI
W. Laurence Wickler, D.O.
- Orthopaedic Surgery Physician
- Anchorage, AK
National Provider Identifier
1487743654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 1790
- Practice address
- 1200 Airport Heights Dr
Suite 195
Anchorage, AK 99508-2943 - Phone
- (907) 264-2044
- Fax
- (907) 264-2053
- NPI assigned
- Oct 12, 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 1790 | AK | Primary |
Addresses
Primary practice location
1200 Airport Heights Dr
Suite 195
Anchorage, AK 99508-2943
Mailing address
1200 Airport Heights Dr
Suite 195
Anchorage, AK 99508-2943
Phone (907) 264-2044
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)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1790 | AK | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487743654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 AIRPORT HEIGHTS DR",
"address_2": "SUITE 195",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995082943",
"telephone_number": "907-264-2044",
"fax_number": "907-264-2053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 AIRPORT HEIGHTS DR",
"address_2": "SUITE 195",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995082943",
"telephone_number": "907-264-2044",
"fax_number": "907-264-2053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WICKLER",
"first_name": "W.",
"middle_name": "LAURENCE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "AK",
"license": "1790",
"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 Jul 8, 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.