Creed Mamikunian, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

CREED MAMIKUNIAN, MD

Doing business as

Creed Mamikunian, MD

Practice address

2401 E 42ND Ave Ste 206
Anchorage, AK 99508-5228

Phone

(907) 562-1860

NPI assigned

Jun 5, 2019

Organization subpart

Yes

Parent organization

CREED MAMIKUNIAN, MDAs reported in NPPES

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

Authorized official

Name

Dr. Creed Mamikunian, MDNPI 1639102254

Title

Physician/Owner

Phone

(907) 562-1860

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Creed Mamikunian, MD Doing business as

Part of

Creed Mamikunian MD

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Creed K Mamikunian, M.D.

  • Otolaryngology Physician
  • Anchorage, AK
  • NPI 1639102254
  NPD (past) Authorized official

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

{
    "created_epoch": "1559692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559692800000",
    "number": "1609434497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 E 42ND AVE STE 206",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085228",
            "telephone_number": "907-562-1860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 E 42ND AVE STE 206",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085228",
            "telephone_number": "907-562-1860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREED MAMIKUNIAN, MD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CREED MAMIKUNIAN, MD",
        "enumeration_date": "2019-06-05",
        "last_updated": "2019-06-05",
        "status": "A",
        "authorized_official_last_name": "MAMIKUNIAN",
        "authorized_official_first_name": "CREED",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "907-562-1860",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD2517",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Creed Mamikunian, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shawn Alexander Crawford
• Vicki Creasy
• Creative Care LLC
• Credena Health LLC
• Credena Health LLC
• Sara Crewdson, SA-C
• Jeffry Lee Crews, MS
• Harley Crider
• Amanda Crist-Krueger
• Allison Lindsey Critchlow, DO

• Otolaryngology Physician in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Otolaryngology Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2019; 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.