Active NPI
Scott Landrum
- Surgical Assistant
- Fairbanks, AK
National Provider Identifier
1508538513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 164916
- Practice address
- 1275 Sadler Way Ste 102
Fairbanks, AK 99701-3175 - Phone
- (907) 374-7911
- NPI assigned
- Sep 29, 2021
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 164916 | Primary |
Addresses
Primary practice location
1275 Sadler Way Ste 102
Fairbanks, AK 99701-3175
Mailing address
1275 Sadler Way Ste 101
Fairbanks, AK 99701-3175
Phone (907) 374-7911
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | frontdesk@steeseimmediatecare.com |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632873600000",
"number": "1508538513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1275 SADLER WAY STE 101",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997013175",
"telephone_number": "907-374-7911",
"fax_number": "907-374-7744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1275 SADLER WAY STE 102",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997013175",
"telephone_number": "907-374-7911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDRUM",
"first_name": "SCOTT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-09-29",
"last_updated": "2021-09-29",
"certification_date": "2021-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": null,
"license": "164916",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "frontdesk@steeseimmediatecare.com",
"affiliation": "N",
"address_1": "1275 Sadler Way Ste 101",
"city": "Fairbanks",
"state": "AK",
"country_code": "US",
"postal_code": "997013175",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Fairbanks, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.