NPIMap

Organization Active NPI

Chinook Surgical Group

Doing business as Alaska Bariatric Center

  • Surgery Physician
  • Anchorage, AK
National Provider Identifier
1659562189
Registry record updated Dec 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
278885 Issued in AK
Legal business name
CHINOOK SURGICAL GROUP
Doing business as
Alaska Bariatric Center
Practice address
4100 Lake Otis Pkwy Ste 302
Anchorage, AK 99508-5230
Phone
(907) 929-4263
Fax
(907) 929-4267
NPI assigned
Aug 8, 2007
Last updated
Dec 15, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
CHINOOK SURGICAL GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 15, 2020

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

Authorized official

Name
Dr. Michael A Todd, MD FACSNPI 1831136456
Title
President
Phone
(907) 929-4263

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 278885 AK Primary

Addresses

Primary practice location

4100 Lake Otis Pkwy Ste 302
Anchorage, AK 99508-5230

Mailing address

PO Box 143595
Anchorage, AK 99514-3595
Phone (907) 929-4263

Other identifiers 2

IdentifierTypeStateIssuer
MDG130MedicaidAK
MD2836MedicaidAK

Other names 1

  • Alaska Bariatric Center Doing business as

National Provider Directory

National Provider Directory
Part of
Alaska Bariatric Center

Locations

1200 Airport Heights Dr
Ste 278
Anchorage, AK 99508
Phone (907) 272-3366

2841 Debarr Rd
Ste 11
Anchorage, AK 99508
Phone (907) 929-4263

Practitioners & affiliated clinicians

Practitioners 7

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": "1186531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607990400000",
    "number": "1659562189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 143595",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995143595",
            "telephone_number": "907-929-4263",
            "fax_number": "907-929-4267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 LAKE OTIS PKWY STE 302",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085230",
            "telephone_number": "907-929-4263",
            "fax_number": "907-929-4267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHINOOK SURGICAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHINOOK SURGICAL GROUP",
        "enumeration_date": "2007-08-08",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A",
        "authorized_official_last_name": "TODD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "907-929-4263",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD FACS"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AK",
            "license": "278885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MDG130",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD2836",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alaska Bariatric Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Alaska Bariatric Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 15, 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.