Individual provider Active NPI

Joshua D Hedberg, PA-C

  • Physician Assistant
  • Anchorage, AK
National Provider Identifier
1578864575
Registry record updated Sep 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
938 Issued in AK
Practice address
2841 Debarr Rd
Suite #22
Anchorage, AK 99508-2958
Phone
(907) 276-6301
NPI assigned
Nov 6, 2010
Last updated
Sep 22, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 938 AK Primary

Addresses

Primary practice location

2841 Debarr Rd
Suite #22
Anchorage, AK 99508-2958

Mailing address

4100 Lake Otis Pkwy
Suite 322
Anchorage, AK 99508-5229
Phone (907) 562-1234

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110104001165 AK Practitioner - Physician Assistant 1153510326 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthoalaska LLCGroup PAC ID 2961705520, 167 clinicians

Practice addresses (Care Compare)

3801 Lake Otis Pkwy
Anchorage, AK 99508-5234

4100 Lake Otis Pkwy
Anchorage, AK 99508-5231
Phone (907) 562-1234

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
938AKMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Orthoalaska, LLC Physician Assistant CurrentSince Jun 14, 2022 Accepting new patients
Orthoalaska LLC CurrentSince Jun 14, 2022 Accepting new patients
Orthoalaska, LLC Past Accepting new patients
Denali Family Healthcare, LLC PastSince Apr 2, 2008 Accepting new patients
Orthoalaska LLC PastSince Jan 21, 2024 Accepting new patients
Northwest Medical Professional Corporation Past Accepting new patients

Locations

3801 Lake Otis Pkwy
Ste 300
Anchorage, AK 99508
Phone (907) 341-5238

4100 Lake Otis Pkwy
Ste 322
Anchorage, AK 99508
Phone (907) 562-1234

3125 E Meridian Park Loop
Ste 300
Wasilla, AK 99654
Phone (907) 357-2267

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12726/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1289001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316649600000",
    "number": "1578864575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 LAKE OTIS PKWY",
            "address_2": "SUITE 322",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085229",
            "telephone_number": "907-562-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2841 DEBARR RD",
            "address_2": "SUITE #22",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082958",
            "telephone_number": "907-276-6301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEDBERG",
        "first_name": "JOSHUA",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-06",
        "last_updated": "2011-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AK",
            "license": "938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.