Active NPI
Eric Meffley, PA-C
- Medical Physician Assistant
- Fairbanks, AK
National Provider Identifier
1508831744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 395
- Practice address
- 1001 Noble St
Fairbanks, AK 99701-4922 - Phone
- (907) 459-3511
- Fax
- (907) 459-3588
- NPI assigned
- Feb 21, 2006
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 395 | AK | Primary |
Addresses
Primary practice location
1001 Noble St
Fairbanks, AK 99701-4922
Mailing address
1001 Noble St
Fairbanks, AK 99701-4922
Phone (907) 459-3500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MDA0006 | Medicaid | AK |
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)
- Enrolled
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1508831744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 NOBLE ST",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997014922",
"telephone_number": "907-459-3500",
"fax_number": "907-459-3588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 NOBLE ST",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997014922",
"telephone_number": "907-459-3511",
"fax_number": "907-459-3588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEFFLEY",
"first_name": "ERIC",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-21",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "AK",
"license": "395",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MDA0006",
"state": "AK"
}
],
"endpoints": [],
"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 Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.