Northwoods Family Medicine, Inc

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

4823 Issued in AK

Legal business name

NORTHWOODS FAMILY MEDICINE, INC

Practice address

1301 E. Palmer-Wasilla Hwy, #400
Wasilla, AK 99654

Phone

(907) 357-9400

NPI assigned

Dec 28, 2016

Last updated

Dec 28, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Myles Standish Jr.

Title

Representative/Agent

Phone

(206) 300-3992

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

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

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IECIAD

Practitioners 3

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.

• Kara Lynn Boothby, PA-C

  • Physician Assistant
  • Wasilla, AK
  • NPI 1356999189
  Medicare reassignment Care Compare group
• Frank Adam Greathouse, MD

  • Family Medicine Physician
  • Wasilla, AK
  • NPI 1780699330
  Medicare reassignment Care Compare group
• Donald Edward Smith, PA-C

  • Physician Assistant
  • Wasilla, AK
  • NPI 1477621597
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1482883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482883200000",
    "number": "1528503687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 876628",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996876628",
            "telephone_number": "907-357-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 E. PALMER-WASILLA HWY, #400",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "99654",
            "telephone_number": "907-357-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWOODS FAMILY MEDICINE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-28",
        "last_updated": "2016-12-28",
        "status": "A",
        "authorized_official_last_name": "STANDISH",
        "authorized_official_first_name": "MYLES",
        "authorized_official_title_or_position": "REPRESENTATIVE/AGENT",
        "authorized_official_telephone_number": "206-300-3992",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "AK",
            "license": "4823",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "AK",
            "license": "340",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northstar Assisted Living, Inc. (Ruthies Assisted Living)
• Northstar Chiropractic
• Northward Business Systems, LLC
• Northway Medical Laboratory, Inc.
• Northwest Medical, LLC.
• Cynthia Norvell
• Jessica Nyako
• Aaliyah Nye
• Jennifer Nye
• O'Bies Adobe, LLC

• Adult Medicine Physician in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Adult Medicine Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2016; 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.