Active NPI
David Russell Flory, MD
- Anesthesiology Physician
- Fairbanks, AK
National Provider Identifier
1679596308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 4238
- Practice address
- 1650 Cowles St
Fairbanks, AK 99701-5925 - Phone
- (800) 945-9877
- Fax
- (801) 733-5618
- NPI assigned
- Jul 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 4238 | AK | Primary |
| Anesthesiology Physician | 207L00000X | MD2024-0890 | NM |
Addresses
Primary practice location
1650 Cowles St
Fairbanks, AK 99701-5925
Mailing address
2100 Lakeside Blvd Ste 250
Richardson, TX 75082-4351
Phone (907) 452-2700
Other practice location 1
801 W Maple St
Farmington, NM 87401-5630
Phone (505) 609-2000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD4238 | Medicaid | AK | |
| 193928800 | Other | AK | US DEPT OF LABOR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK, NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1995
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Dallas, TX 75284
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4238 | AK | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Consultants of Fairbanks LLC | Anesthesiology | Current | Accepting new patients |
Locations
2310 Peger Rd
Fairbanks, AK 99709
Phone (907) 458-7263
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Fairbanks, AK
- NPI 1285272260
-
- Gastroenterology Physician
- Farmington, NM
- NPI 1639662901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781049600000",
"number": "1679596308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 LAKESIDE BLVD STE 250",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750824351",
"telephone_number": "907-452-2700",
"fax_number": "801-733-5618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1650 COWLES ST",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997015925",
"telephone_number": "800-945-9877",
"fax_number": "801-733-5618"
}
],
"practiceLocations": [
{
"address_1": "801 W Maple St",
"address_purpose": "LOCATION",
"city": "Farmington",
"state": "NM",
"postal_code": "874015630",
"country_code": "US",
"telephone_number": "505-609-2000",
"fax_number": "505-609-2259",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FLORY",
"first_name": "DAVID",
"middle_name": "RUSSELL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2026-06-10",
"certification_date": "2026-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "AK",
"license": "4238",
"primary": true
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NM",
"license": "MD2024-0890",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MD4238",
"state": "AK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US DEPT OF LABOR",
"identifier": "193928800",
"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 Jun 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.