Joseph Henry Llewellyn, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

2767 Issued in AK

Practice address

3750 E Country Field Cir Ste D
Wasilla, AK 99654-6659

Phone

(907) 357-6121

Fax

(907) 357-6171

NPI assigned

Jul 26, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Surgery

Education

University of Missouri, Columbia School of Medicine, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

John R Oliver MD PCGroup PAC ID 4981704400, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• John R Oliver MD Inc

  • Gynecology Physician
  • Wasilla, AK
  • NPI 1194928234
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675382400000",
    "number": "1528068285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 871988",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996871988",
            "telephone_number": "907-357-6121",
            "fax_number": "907-357-6171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 E COUNTRY FIELD CIR STE D",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996546659",
            "telephone_number": "907-357-6121",
            "fax_number": "907-357-6171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LLEWELLYN",
        "first_name": "JOSEPH",
        "middle_name": "HENRY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-26",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AK",
            "license": "2767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD02041",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ellen Kay Linsley, LCSW
• Lisa Cooney, MD-PC
• Megan Suzanne Litster
• Little Loon Pediatric Therapy LLC
• Living Water Family Home
• McKinsey Loan
• Charles Lockner
• Nicole Lockner
• Stephanie Lofgren
• Michelle Lynn Logan

• Surgery Physician in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Surgery Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.