NPIMap

Organization Active NPI

Urgent Care Medical Clinic, PC

  • Clinic/Center
  • Anchorage, AK
National Provider Identifier
1497781678
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
242636 Issued in AK
Legal business name
URGENT CARE MEDICAL CLINIC, PC
Practice address
9150 Jewel Lake Rd Ste B
Anchorage, AK 99502-5337
Phone
(907) 248-8561
Fax
(907) 248-8563
NPI assigned
Jun 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2022

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

Authorized official

Name
Dr. Talmadge Layne Crowe, MDNPI 1942319611
Title
Owner/Provider
Phone
(907) 248-8561

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 242636 AK Primary

Addresses

Primary practice location

9150 Jewel Lake Rd Ste B
Anchorage, AK 99502-5337

Mailing address

9150 Jewel Lake Rd Ste B
Anchorage, AK 99502-5337
Phone (907) 248-8561

Other identifiers 1

IdentifierTypeStateIssuer
MDG6361MedicaidAK

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040318001007 AK Part B Supplier - Clinic/Group Practice 8123918513 Receives reassigned benefits from 11 practitioners
1 other NPI on this enrollment
Practice locations: Anchorage, AK

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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
02D1008820Urgent Care Medical Clinic9150 Jewel Lake Road Suite B, Anchorage, AK 99502Provider-performed microscopyJan 27, 2027

National Provider Directory

National Provider Directory

Locations

9150 Jewel Lake Rd
Ste B
Anchorage, AK 99502
Phone (907) 248-8561

Practitioners & affiliated clinicians

Practitioners 12

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": "1151020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666051200000",
    "number": "1497781678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9150 JEWEL LAKE RD STE B",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995025337",
            "telephone_number": "907-248-8561",
            "fax_number": "907-248-8563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9150 JEWEL LAKE RD STE B",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995025337",
            "telephone_number": "907-248-8561",
            "fax_number": "907-248-8563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URGENT CARE MEDICAL CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-23",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A",
        "authorized_official_last_name": "CROWE",
        "authorized_official_first_name": "TALMADGE",
        "authorized_official_middle_name": "LAYNE",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "907-248-8561",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AK",
            "license": "242636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MDG6361",
            "state": "AK"
        }
    ],
    "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 Oct 18, 2022; 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.