Orthopaedic Triage of Fairbanks, Inc

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

171 Issued in AK

Legal business name

ORTHOPAEDIC TRIAGE OF FAIRBANKS, INC

Practice address

1919 Lathrop, Suite 209
Fairbanks, AK 99701

Phone

(907) 452-4469

Fax

(907) 451-9480

NPI assigned

Mar 27, 2008

Organization subpart

No

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

Authorized official

Name

Michael T Weber, PA-CNPI 1902990963

Title

President

Phone

(907) 452-4446

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Michael Thomas Weber, PHYSICIAN ASSISTANT

  • Surgical Physician Assistant
  • Fairbanks, AK
  • NPI 1902990963
  NPD (past) Authorized official
• Ambria Marie Younker, PA

  • Medical Physician Assistant
  • Fairbanks, AK
  • NPI 1144536061

  Surgical

  NPD (past)

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374624000000",
    "number": "1629240874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 LATHROP, SUITE 209",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "99701",
            "telephone_number": "907-452-4469",
            "fax_number": "907-451-9480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 LATHROP, SUITE 209",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "99701",
            "telephone_number": "907-452-4469",
            "fax_number": "907-451-9480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPAEDIC TRIAGE OF FAIRBANKS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-27",
        "last_updated": "2013-07-24",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "907-452-4446",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "AK",
            "license": "171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD45451",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angelika Opland
• Orion Behavioral Health Network, LLC
• Jennifer Ann Orr, PT, DPT, COMT
• Maria Theresa Ackiar Orr, RN
• Orthopaedic Surgical Associates, LLC
• Orthopedic & Sportsmedicine Clinic of Fairbanks LLC
• Mackenzie Osantowski
• Heather Osborne
• Rita S Osborne, RD
• Unknown Oshi, SPEECH LANGUAGE PATH

• Surgical Physician Assistant in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Surgical Physician Assistant in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2013; 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.