Active NPI
Alaska Podiatry Associates, a Professional Corporation
- Foot Surgery Podiatrist
- Anchorage, AK
National Provider Identifier
1487786703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- 196425
- Legal business name
- ALASKA PODIATRY ASSOCIATES, A PROFESSIONAL CORPORATION
- Practice address
- 2741 Debarr Rd
Suite C-315
Anchorage, AK 99508-2953 - Phone
- (907) 562-4958
- Fax
- (907) 562-5195
- NPI assigned
- Mar 12, 2007
- Organization subpart
- Yes
- Parent organization
- ALASKA PODIATRY ASSOCIATES, A PROFESSIONAL CORPORATION
Authorized official
NPPES NPI Registry- Name
- Mr. Kenneth C Swayman, D.P.M.
- Title
- Owner
- Phone
- (907) 562-4958
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Denver, CO
- NPI 1528322286
-
- Foot & Ankle Surgery Podiatrist
- Lyndhurst, NJ
- NPI 1376950113
-
- Podiatrist
- Middleburg, FL
- NPI 1780996827
-
- Foot & Ankle Surgery Podiatrist
- Anchorage, AK
- NPI 1457431785
-
- Podiatrist
- Anchorage, AK
- NPI 1447291067
-
- Primary Podiatric Medicine Podiatrist
- Anchorage, AK
- NPI 1578608873
-
- Foot Surgery Podiatrist
- Anchorage, AK
- NPI 1770611667
NPD (past) FOOT SURGERY -
- Foot & Ankle Surgery Podiatrist
- Missoula, MT
- NPI 1902053358
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040217000176 | AK | Part B Supplier - Clinic/Group Practice | 4183519408 |
Receives reassigned benefits from 3 practitioners Practice locations: Anchorage, AK |
National Provider Directory
National Provider Directory- Part of
- Alaska Podiatry Associates a Professional Corporation
Locations
2741 Debarr Rd
Ste C315
Anchorage, AK 99508
Phone (907) 562-4958
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | 196425 | AK | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2741 Debarr Rd
Suite C-315
Anchorage, AK 99508-2953
Mailing address
2741 Debarr Rd
Suite C-315
Anchorage, AK 99508-2953
Phone (907) 562-4958
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| PDG262 | Medicaid | AK |
Other names 1
NPPES NPI Registry- ALLIANCE FOOT & ANKLE
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 21, 2017.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1503273600000",
"number": "1487786703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2741 DEBARR RD",
"address_2": "SUITE C-315",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995082953",
"telephone_number": "907-562-4958",
"fax_number": "907-562-5195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2741 DEBARR RD",
"address_2": "SUITE C-315",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995082953",
"telephone_number": "907-562-4958",
"fax_number": "907-562-5195"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALASKA PODIATRY ASSOCIATES, A PROFESSIONAL CORPORATION",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ALASKA PODIATRY ASSOCIATES, A PROFESSIONAL CORPORATION",
"enumeration_date": "2007-03-12",
"last_updated": "2017-08-21",
"status": "A",
"authorized_official_last_name": "SWAYMAN",
"authorized_official_first_name": "KENNETH",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "907-562-4958",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "D.P.M."
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot Surgery",
"state": "AK",
"license": "196425",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PDG262",
"state": "AK"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ALLIANCE FOOT & ANKLE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Anchorage, AK
- Alaska Pediatric Specialties LLC
- Alaska Pediatric Therapy
- Alaska Perinatology Associates
- Alaska Physical Therapy Specialists, LLC
- Alaska Physicians Eyecare Group, P.C.
- Alaska Podiatry Group, LLC
- Alaska Premier Assisted Living LLC
- Alaska Premier Care Coordination
- Alaska Premier Dental Group Midotwn, LLC
- Alaska Premier Dental Group- Ste100,LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2017; 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.