Alaska Digestive Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

ALASKA DIGESTIVE CENTER, LLC

Practice address

4048 Laurel St
Suite 103a
Anchorage, AK 99508-5333

Phone

(907) 563-1750

Fax

(907) 550-4403

NPI assigned

Mar 15, 2006

Organization subpart

No

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

Authorized official

Name

Jennifer Boyd Baldock

Title

Officer and Authorized Official

Phone

(615) 234-5935

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Listed as

Alaska Digestive CenterCCN 02C0001007

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 3

Organizations this organization is a member of, according to the National Provider Directory.

• Austin T. Nelson, MD, P.C.

  • Gastroenterology Physician
  • Anchorage, AK
  • NPI 1093379315

  Member Of

  NPD member
• Brian F Sweeney Jr M D Apc

  • Gastroenterology Physician
  • Anchorage, AK
  • NPI 1174500045

  Member Of

  NPD member
• Daryl M. McClendon, M.D., P.C.

  • Gastroenterology Physician
  • Anchorage, AK
  • NPI 1013145002

  Member Of

  NPD member

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brian Felix Sweeney Jr., M.D.

  • Gastroenterology Physician
  • Anchorage, AK
  • NPI 1215112065
  NPD
• Austin T Nelson, MD PC

  • Gastroenterology Physician
  • Anchorage, AK
  • NPI 1831316066
  NPD (past)

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660003200000",
    "number": "1508835299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4048 LAUREL ST",
            "address_2": "SUITE 103A",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085333",
            "telephone_number": "907-563-1750",
            "fax_number": "907-550-4403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4048 LAUREL ST",
            "address_2": "SUITE 103A",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085333",
            "telephone_number": "907-563-1750",
            "fax_number": "907-550-4403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALASKA DIGESTIVE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-15",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A",
        "authorized_official_last_name": "BALDOCK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "BOYD",
        "authorized_official_title_or_position": "OFFICER AND AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "615-234-5935"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "AK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alaska Dental Group P.C.
• Alaska Dental Outreach Consortium
• Alaska Dentistry for Kids, LLC
• Alaska Dialysis - Laurel Street, LLC
• Alaska Digestive and Liver Disease, LLC
• Alaska Dinner Factory, Inc.
• Alaska Diversified Speech LLC
• Alaska Ear Nose & Throat, Inc
• Alaska Ehealth Network
• Alaska Emergency Medicine Associates

• All providers in Anchorage, AK
• Ambulatory Surgical Clinic/Center in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.