Eric a Nimmo MD Apc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

408723 Issued in AK

Legal business name

ERIC A NIMMO MD APC

Practice address

851 E Westpoint Dr
Ste 302
Wasilla, AK 99654-7191

Phone

(907) 357-3850

Fax

(907) 357-3851

NPI assigned

Apr 27, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Eric A Nimmo, MD APC

Title

President

Phone

(907) 357-3850

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1335484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383782400000",
    "number": "1508124587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 E WESTPOINT DR",
            "address_2": "STE 302",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547191",
            "telephone_number": "907-357-3850",
            "fax_number": "907-357-3851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 E WESTPOINT DR",
            "address_2": "STE 302",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547191",
            "telephone_number": "907-357-3850",
            "fax_number": "907-357-3851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC A NIMMO MD APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-27",
        "last_updated": "2013-11-07",
        "status": "A",
        "authorized_official_last_name": "NIMMO",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "907-357-3850",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD APC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AK",
            "license": "408723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD1446",
            "state": "AK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "B55382",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Isaiah Epperson
• John Epperson
• Heather Equevilley, DDS
• Kristen Erdman
• Cassandra M Erdmann, LMT
• Heather J. Erickson, O.D.
• Tessa Erickson, PTA
• Wade Erickson, MD
• Erin Rockey, Anp LLC
• Ellen U Errigo, CNM

• Family Medicine Physician in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Family Medicine Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2013; 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.