Organization Active NPI

John T. Duddy M.D. PC

  • Orthopaedic Surgery Physician
  • Anchorage, AK
National Provider Identifier
1679796460
Registry record updated Dec 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
JOHN T. DUDDY M.D. PC
Doing business as
Alaska Orthopaedic Surgeons
Practice address
2741 Debarr Rd
Ste C305
Anchorage, AK 99508-2953
Phone
(907) 278-8141
Fax
(907) 279-3527
NPI assigned
Apr 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2011

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

Authorized official

Name
John T. Duddy, M.D.
Title
Practice Owner
Phone
(907) 278-8141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

2741 Debarr Rd
Ste C305
Anchorage, AK 99508-2953

Mailing address

2741 Debarr Rd
Ste C305
Anchorage, AK 99508-2953
Phone (907) 278-8141

Other identifiers 2

IdentifierTypeStateIssuer
MDG018MedicaidAK
MD1419MedicaidAK

Other names 1

  • Alaska Orthopaedic Surgeons Doing business as

National Provider Directory

National Provider Directory

Locations

2741 Debarr Rd
Ste C305
Anchorage, AK 99508
Phone (907) 278-8141

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": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324944000000",
    "number": "1679796460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2741 DEBARR RD",
            "address_2": "STE C305",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082953",
            "telephone_number": "907-278-8141",
            "fax_number": "907-279-3527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2741 DEBARR RD",
            "address_2": "STE C305",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082953",
            "telephone_number": "907-278-8141",
            "fax_number": "907-279-3527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN T. DUDDY M.D. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2011-12-27",
        "status": "A",
        "authorized_official_last_name": "DUDDY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "907-278-8141",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MDG018",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD1419",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alaska Orthopaedic Surgeons",
            "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 27, 2011; 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.