Anchorage Housecall Medicine LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

1032371 Issued in AK

Legal business name

ANCHORAGE HOUSECALL MEDICINE LLC

Practice address

1444 S Creek Rd
Eagle River, AK 99577-9461

Phone

(907) 622-4663

Fax

(907) 622-4643

NPI assigned

Apr 5, 2016

Last updated

Apr 5, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. John Andrew Winczura, PA-CNPI 1336270347

Title

Owner/Provider

Phone

(907) 622-4663

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Andrew Winczura, PA-C

  • Medical Physician Assistant
  • Eagle River, AK
  • NPI 1336270347
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1459814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459814400000",
    "number": "1497118574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1444 S CREEK RD",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995779461",
            "telephone_number": "907-622-4663",
            "fax_number": "907-622-4643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1444 S CREEK RD",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995779461",
            "telephone_number": "907-622-4663",
            "fax_number": "907-622-4643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANCHORAGE HOUSECALL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-05",
        "last_updated": "2016-04-05",
        "status": "A",
        "authorized_official_last_name": "WINCZURA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "907-622-4663",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AK",
            "license": "1032371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MDA0160",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Eagle River, AK
• Providers in Eagle River, AK by specialty
• Primary Care Clinic/Center in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.