NPIMap

Organization Active NPI

Alaska Urological Institute PC

Doing business as Alaska Medical Specialties

  • Urology Physician
  • Anchorage, AK
National Provider Identifier
1689716185
Registry record updated Jun 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
ALASKA UROLOGICAL INSTITUTE PC
Doing business as
Alaska Medical Specialties
Practice address
188 W Northern Lights Blvd
Suite 800
Anchorage, AK 99503
Phone
(907) 276-2806
Fax
(907) 276-2815
NPI assigned
Feb 12, 2007
Last updated
Jun 12, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2019

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

Authorized official

Name
William R Clark, MDNPI 1073567079
Title
President
Phone
(907) 276-2844

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X AK
Hematology & Oncology Physician 207RH0003X AK
Pulmonary Disease Physician 207RP1001X
Radiation Oncology Physician 2085R0001X AK
Urology Physician 208800000X AK Primary

Addresses

Primary practice location

188 W Northern Lights Blvd
Suite 800
Anchorage, AK 99503

Mailing address

188 W Northern Lights Blvd
Suite 800
Anchorage, AK 99503
Phone (907) 276-2806

Other identifiers 1

IdentifierTypeStateIssuer
GR0193MedicaidAK

Other names 2

  • Alaska Medical Specialties Doing business as
  • Alaska Urological Associates Former legal business name

National Provider Directory

National Provider Directory

Locations

188 W Northern Lights Blvd
Anchorage, AK 99503
Phone (907) 562-2002

188 W Northern Lights Blvd
Ste 100
Anchorage, AK 99503
Phone (907) 276-2803

3039 Davis Rd
Fairbanks, AK 99709
Phone (907) 276-2803

3227 Glacier Hwy
Juneau, AK 99801
Phone (907) 500-9920

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 35

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.

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560297600000",
    "number": "1689716185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 W NORTHERN LIGHTS BLVD",
            "address_2": "SUITE 800",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99503",
            "telephone_number": "907-276-2806",
            "fax_number": "907-276-2815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 W NORTHERN LIGHTS BLVD",
            "address_2": "SUITE 800",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99503",
            "telephone_number": "907-276-2806",
            "fax_number": "907-276-2815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALASKA UROLOGICAL INSTITUTE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2019-06-12",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "907-276-2844",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AK",
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "AK",
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "AK",
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "AK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0193",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alaska Medical Specialties",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Alaska Urological Associates",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Jun 12, 2019; 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.