NPIMap

Organization Active NPI

John D. Zipperer, Jr., M.D., LLC

Doing business as John D. Zipperer, Jr., MD

  • Interventional Pain Medicine Physician
  • Eagle River, AK
National Provider Identifier
1528326626
Registry record updated Mar 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
1001937 Issued in AK
Legal business name
JOHN D. ZIPPERER, JR., M.D., LLC
Doing business as
John D. Zipperer, Jr., MD
Practice address
12641 Old Glenn Hwy
101
Eagle River, AK 99577
Phone
(907) 770-2606
Fax
(907) 770-2604
NPI assigned
Apr 26, 2012
Last updated
Mar 31, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2017

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

Authorized official

Name
Dr. John Douglas Zipperer Jr., M.D.
Title
Owner/Ceo
Phone
(907) 770-2606

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Internal Medicine) Physician 207RA0401X 1001937 AK
Interventional Pain Medicine Physician 208VP0014X 1001937 AK Primary

Addresses

Primary practice location

12641 Old Glenn Hwy
101
Eagle River, AK 99577

Mailing address

12641 Old Glenn Hwy
101
Eagle River, AK 99508
Phone (907) 770-2606

Other names 1

  • John D. Zipperer, Jr., MD Doing business as

National Provider Directory

National Provider Directory

Locations

12641 Old Glenn Hwy
Ste 101
Eagle River, AK 99577
Phone (907) 726-1400

351 W Swanson Ave
Ste 4
Wasilla, AK 99654
Phone (907) 376-5228

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1335398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490918400000",
    "number": "1528326626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12641 OLD GLENN HWY",
            "address_2": "101",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "99508",
            "telephone_number": "907-770-2606",
            "fax_number": "907-770-2604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12641 OLD GLENN HWY",
            "address_2": "101",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "99577",
            "telephone_number": "907-770-2606",
            "fax_number": "907-770-2604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN D. ZIPPERER, JR., M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-26",
        "last_updated": "2017-03-31",
        "status": "A",
        "authorized_official_last_name": "ZIPPERER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "907-770-2606",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "AK",
            "license": "1001937",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "AK",
            "license": "1001937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "John D. Zipperer, Jr., MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eagle River, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2017; 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.