Individual provider Active NPI

Anh T Lam, DPM

  • Podiatrist
  • Juneau, AK
National Provider Identifier
1639367600
Registry record updated Oct 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
4705 Issued in AK
Practice address
7691 Glacier Hwy
Juneau, AK 99801-7912
Phone
(907) 789-5518
Fax
(907) 523-6991
NPI assigned
Oct 4, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 4705 AK Primary

Addresses

Primary practice location

7691 Glacier Hwy
Juneau, AK 99801-7912

Mailing address

7691 Glacier Hwy
Juneau, AK 99801-7912
Phone (907) 789-5518

Other identifiers 1

IdentifierTypeStateIssuer
PD18491MedicaidAK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040325000291 AK Practitioner - Podiatry 9234021494 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1999
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7691 Glacier Hwy
Juneau, AK 99801-7912
Phone (907) 789-5518

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue34
Removal of skin lesions21
Removal of nail tissue63
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1849AKMDPharmacist
4705AKMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Foot & Ankle Center Inc Podiatrist CurrentSince Jul 1, 2001 Accepting new patients

Locations

7691 Glacier Hwy
Juneau, AK 99801
Phone (907) 789-5518

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191456000000",
    "number": "1639367600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7691 GLACIER HWY",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998017912",
            "telephone_number": "907-789-5518",
            "fax_number": "907-523-6991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7691 GLACIER HWY",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998017912",
            "telephone_number": "907-789-5518",
            "fax_number": "907-523-6991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAM",
        "first_name": "ANH",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-04",
        "last_updated": "2007-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "AK",
            "license": "4705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PD18491",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Juneau, AK

Sources for this page

Verify at the official NPI Registry.