Tonja Lynn Hotrum, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

752 Issued in AK

Practice address

1389 Huffman Park Dr Unit 210
Anchorage, AK 99515-3534

Phone

(907) 250-0571

Fax

(907) 600-5083

NPI assigned

Nov 24, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Anchorage Fracture and Orthopaedic Clinic, PC

  • Orthopaedic Surgery Physician
  • Anchorage, AK
  • NPI 1285677054
  Medicare reassignment NPD
• Anchorage Fracture and Orthopaedic Clinic, PC

  • Durable Medical Equipment & Medical Supplies
  • Wasilla, AK
  • NPI 1831774298
  NPD
• Schumacher Orthopedics LLC

  • Orthopaedic Surgery Physician
  • Anchorage, AK
  • NPI 1306593314
  NPD
• American Marine Corporation

  • Specialist
  • Anchorage, AK
  • NPI 1598711558
  NPD (past)
• Orthoalaska LLC

  • Rheumatology Physician
  • Anchorage, AK
  • NPI 1265293252
  NPD (past)
• State of Alaska Department of Administration

  • Psychiatric Hospital
  • Anchorage, AK
  • NPI 1497842553
  NPD (past)

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1689740508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1389 HUFFMAN PARK DR UNIT 210",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995153534",
            "telephone_number": "907-250-0571",
            "fax_number": "907-600-5083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1389 HUFFMAN PARK DR UNIT 210",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995153534",
            "telephone_number": "907-250-0571",
            "fax_number": "907-600-5083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOTRUM",
        "first_name": "TONJA",
        "middle_name": "LYNN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-24",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AK",
            "license": "1816",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AK",
            "license": "752",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD2379",
            "state": "AK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS PA LICENSE",
            "identifier": "PA 01254",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark S. Hoss, O.D.
• Mohammed Hossain
• Shabana Hossain
• Elizabeth Anne Hosselkus, M.D.
• Sabrina Hostetler
• Doris Hough
• Ginger Caroline Houghton, APRN
• Kimberly Dotha Houghton, MD
• House Calls 4 Kids LLC
• House Calls 4 Kids, LLC

• Medical Physician Assistant in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Medical Physician Assistant in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.