NPIMap

Organization Active NPI

Northwest Medical Professional Corporation

  • Family Medicine Physician
  • Anchorage, AK
National Provider Identifier
1609848514
Registry record updated May 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NORTHWEST MEDICAL PROFESSIONAL CORPORATION
Practice address
2841 Debarr Rd
Suite 22
Anchorage, AK 99508-2932
Phone
(907) 276-6301
Fax
(907) 264-1541
NPI assigned
Feb 3, 2006
Last updated
May 27, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2008

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

Authorized official

Name
Liz C Loutzenheiser, R.N.
Title
Clinic Manager
Phone
(907) 276-6301

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

2841 Debarr Rd
Suite 22
Anchorage, AK 99508-2932

Mailing address

2841 Debarr Rd
Suite 22
Anchorage, AK 99508-2932
Phone (907) 276-6301

Other identifiers 1

IdentifierTypeStateIssuer
GR0154MedicaidAK

National Provider Directory

National Provider Directory

Locations

2841 Debarr Rd
Ste 22
Anchorage, AK 99508
Phone (907) 276-6301

Practitioners & affiliated clinicians

Practitioners 5

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": "1138924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211846400000",
    "number": "1609848514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2841 DEBARR RD",
            "address_2": "SUITE 22",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082932",
            "telephone_number": "907-276-6301",
            "fax_number": "907-264-1541"
        },
        {
            "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": "995082932",
            "telephone_number": "907-276-6301",
            "fax_number": "907-264-1541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST MEDICAL PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-03",
        "last_updated": "2008-05-27",
        "status": "A",
        "authorized_official_last_name": "LOUTZENHEISER",
        "authorized_official_first_name": "LIZ",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "907-276-6301",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0154",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; 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.