Alpine Family Medicine, LLC
Organization Active NPI Family Medicine Physician · Sparks, NV
NPI 1659401511 · NPPES record last updated Mar 14, 2008
Key facts
- NPI
- 1659401511
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- ALPINE FAMILY MEDICINE, LLC
- Practice address
- 1959 E Prater Way
Sparks, NV 89434-8938 - Phone
- (775) 331-5200
- Fax
- (775) 331-5202
- NPI assigned
- Mar 7, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Andrew J Swanson, D.O.
- Title
- Owner
- Phone
- (775) 331-5200
Practitioners 3
-
Denise Jolene Carmack, APRN
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NV
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070807000060 | NV | Part B Supplier - Clinic/Group Practice | 2264523117 |
Receives reassigned benefits from 1 practitioner Practice locations: Sparks, NV |
National Provider Directory
Interoperability endpoints
- https://api.platform.athenahealth.com/7649/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
1959 E Prater Way
Sparks, NV 89434-8938
Mailing address
1959 E Prater Way
Sparks, NV 89434-8938
Phone (775) 331-5200
Other providers in Sparks, NV
- Michael Young Allen
- Murphy T Allen
- Alana Margaret Alley
- Alpenglow Wellness LLC
- Alpha Productions Technologies, Inc.
- Camryn Altimus
- Carrianne Cristene Encarnacion Alva
- Francisco Alvarado
- Catalina Montalvo Alvendia
- Always on Point, LLC
All providers in Sparks, NV · Family Medicine Physician in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 14, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.