Active NPI
Aurora Kidney LLC
- Nephrology Physician
- Anchorage, AK
National Provider Identifier
1659417137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- Legal business name
- AURORA KIDNEY LLC
- Practice address
- 3260 Providence Dr Ste 528
Anchorage, AK 99508-4608 - Phone
- (907) 770-7213
- Fax
- (907) 770-7214
- NPI assigned
- Jan 30, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephanie Schow
- Title
- Billing Agent/Practice Manager
- Phone
- (907) 770-7213
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | Primary |
Addresses
Primary practice location
3260 Providence Dr Ste 528
Anchorage, AK 99508-4608
Mailing address
3260 Providence Dr Ste 528
Anchorage, AK 99508-4608
Phone (907) 770-7213
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 02D1064495 | Aurora Kidney LLC | Provider-performed microscopy | Sep 30, 2027 |
National Provider Directory
National Provider DirectoryLocations
3260 Providence Dr
Ste 326
Anchorage, AK 99508
Phone (907) 562-2712
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nephrology Physician
- Anchorage, AK
- NPI 1558319434
-
- Nurse Practitioner
- Anchorage, AK
- NPI 1396039947
-
- Physician Assistant
- Anchorage, AK
- NPI 1710460373
-
- Nephrology Physician
- Anchorage, AK
- NPI 1073509063
-
- Nephrology Physician
- Anchorage, AK
- NPI 1407854052
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1618963200000",
"number": "1659417137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3260 PROVIDENCE DR STE 528",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995084608",
"telephone_number": "907-770-7213",
"fax_number": "907-770-7214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3260 PROVIDENCE DR STE 528",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995084608",
"telephone_number": "907-770-7213",
"fax_number": "907-770-7214"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AURORA KIDNEY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-30",
"last_updated": "2021-04-21",
"certification_date": "2021-04-21",
"status": "A",
"authorized_official_last_name": "SCHOW",
"authorized_official_first_name": "STEPHANIE",
"authorized_official_title_or_position": "BILLING AGENT/PRACTICE MANAGER",
"authorized_official_telephone_number": "907-770-7213"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.