Organization Active NPI

Susitna Anesthesia Associates

  • Anesthesiology Physician
  • Anchorage, AK
National Provider Identifier
1659748069
Registry record updated Sep 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
5345 Issued in AK
Legal business name
SUSITNA ANESTHESIA ASSOCIATES
Practice address
1843 Bootlegger Cove Dr
Anchorage, AK 99501-4222
Phone
(907) 227-0554
NPI assigned
Sep 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2015

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

Authorized official

Name
Trygg RamstadNPI 1295745370
Title
Owner
Phone
(907) 227-0554

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207L00000X 5345 AK Primary

Addresses

Primary practice location

1843 Bootlegger Cove Dr
Anchorage, AK 99501-4222

Mailing address

1708 SE 32ND PL
Portland, OR 97214-5017
Phone (907) 227-0554

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160105001625 AK Part B Supplier - Clinic/Group Practice 1355643545 Receives reassigned benefits from 3 practitioners
Practice locations: Anchorage, AK

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1441152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441152000000",
    "number": "1659748069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 SE 32ND PL",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972145017",
            "telephone_number": "907-227-0554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1843 BOOTLEGGER COVE DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995014222",
            "telephone_number": "907-227-0554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSITNA ANESTHESIA ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-02",
        "last_updated": "2015-09-02",
        "status": "A",
        "authorized_official_last_name": "RAMSTAD",
        "authorized_official_first_name": "TRYGG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-227-0554"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "AK",
            "license": "5345",
            "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 Sep 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.