Organization Active NPI

Orthopaedic Surgical Associates, LLC

  • Orthopaedic Surgery Physician
  • Fairbanks, AK
National Provider Identifier
1629215488
Registry record updated Jan 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
3104 Issued in AK
Legal business name
ORTHOPAEDIC SURGICAL ASSOCIATES, LLC
Practice address
1275 Sadler Way
Suite 101
Fairbanks, AK 99701-3171
Phone
(907) 374-6602
Fax
(907) 374-6604
NPI assigned
Jan 15, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2009

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

Authorized official

Name
Jimmy M Tamai, MDNPI 1023122991
Title
President
Phone
(907) 374-6602

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 3104 AK Primary

Addresses

Primary practice location

1275 Sadler Way
Suite 101
Fairbanks, AK 99701-3171

Mailing address

1917 Abbott Rd
Suite 100
Anchorage, AK 99507-3448
Phone (907) 770-3202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090305000695 AK Part B Supplier - Clinic/Group Practice 9739245325 Receives reassigned benefits from 1 practitioner
Practice locations: Fairbanks, AK

National Provider Directory

National Provider Directory

Locations

1275 Sadler Way
Ste 101A
Fairbanks, AK 99701

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1231977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231977600000",
    "number": "1629215488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1917 ABBOTT RD",
            "address_2": "SUITE 100",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995073448",
            "telephone_number": "907-770-3202",
            "fax_number": "907-770-3287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 SADLER WAY",
            "address_2": "SUITE 101",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997013171",
            "telephone_number": "907-374-6602",
            "fax_number": "907-374-6604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPAEDIC SURGICAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-15",
        "last_updated": "2009-01-15",
        "status": "A",
        "authorized_official_last_name": "TAMAI",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "907-374-6602",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "AK",
            "license": "3104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairbanks, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.