NPIMap

Organization Active NPI

Algone Center

  • Interventional Pain Medicine Physician
  • Wasilla, AK
National Provider Identifier
1609176783
Registry record updated Mar 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
ALGONE CENTER
Practice address
3066 E Meridian Park Loop
#1
Wasilla, AK 99654-7299
Phone
(907) 373-9460
Fax
(907) 373-9461
NPI assigned
Oct 23, 2010
Last updated
Mar 1, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2011

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

Authorized official

Name
John Thomas Grissom, MDNPI 1598789513
Title
President
Phone
(907) 373-9460

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X NU Primary

Addresses

Primary practice location

3066 E Meridian Park Loop
#1
Wasilla, AK 99654-7299

Mailing address

PO Box 870904
Wasilla, AK 99687-0904
Phone (907) 373-9460

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1287792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298937600000",
    "number": "1609176783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 870904",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996870904",
            "telephone_number": "907-373-9460",
            "fax_number": "907-373-9461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3066 E MERIDIAN PARK LOOP",
            "address_2": "#1",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547299",
            "telephone_number": "907-373-9460",
            "fax_number": "907-373-9461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALGONE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-23",
        "last_updated": "2011-03-01",
        "status": "A",
        "authorized_official_last_name": "GRISSOM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "907-373-9460",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wasilla, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2011; 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.