Organization Active NPI

Advanced Surgical Services LLC

  • Surgery Physician
  • Anchorage, AK
National Provider Identifier
1609983451
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
5780 Issued in AK
Legal business name
ADVANCED SURGICAL SERVICES LLC
Practice address
2841 Debarr Rd
Suite 11
Anchorage, AK 99508-2932
Phone
(907) 929-4263
Fax
(907) 929-4267
NPI assigned
Aug 25, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Nathaniel L Eastman, MDNPI 1023125887
Title
President
Phone
(907) 929-4263

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 4

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

National Provider Directory

National Provider Directory

Locations

2841 Debarr Rd
Ste 11
Anchorage, AK 99508
Phone (907) 929-4263

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 5780 AK Primary

Addresses

NPPES NPI Registry

Primary practice location

2841 Debarr Rd
Suite 11
Anchorage, AK 99508-2932

Mailing address

PO Box 241889
Anchorage, AK 99524-1889
Phone (907) 563-1777

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609983451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 241889",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995241889",
            "telephone_number": "907-563-1777",
            "fax_number": "907-561-7464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2841 DEBARR RD",
            "address_2": "SUITE 11",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082932",
            "telephone_number": "907-929-4263",
            "fax_number": "907-929-4267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED SURGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EASTMAN",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "907-929-4263",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "AK",
            "license": "5780",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 22, 2020; 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.