Organization Active NPI

Arctic Internal Medicine, PB

  • Internal Medicine Physician
  • Fairbanks, AK
National Provider Identifier
1649314071
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD1621 Issued in AK
Legal business name
ARCTIC INTERNAL MEDICINE, PB
Practice address
2009 Cowles St
Fairbanks, AK 99701-5916
Phone
(907) 452-6610
Fax
(907) 452-5754
NPI assigned
Feb 18, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Gail Ellen Burger
Title
Office Manager
Phone
(907) 452-6610

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD1621 AK Primary

Addresses

Primary practice location

2009 Cowles St
Fairbanks, AK 99701-5916

Mailing address

2009 Cowles St
Fairbanks, AK 99701-5916
Phone (907) 452-6610

Other identifiers 1

IdentifierTypeStateIssuer
MD16211MedicaidAK

National Provider Directory

National Provider Directory

Locations

2009 Cowles St
Fairbanks, AK 99701
Phone (907) 374-8111

Practitioners & affiliated clinicians

Practitioners 4

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": "1171756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649314071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2009 COWLES ST",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997015916",
            "telephone_number": "907-452-6610",
            "fax_number": "907-452-5754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2009 COWLES ST",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997015916",
            "telephone_number": "907-452-6610",
            "fax_number": "907-452-5754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCTIC INTERNAL MEDICINE, PB",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BURGER",
        "authorized_official_first_name": "GAIL",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "907-452-6610",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AK",
            "license": "MD1621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD16211",
            "state": "AK"
        }
    ],
    "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 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.