NPIMap

Organization Active NPI

Burke Iversen Inc

Doing business as Alaska Family Medicine Associates

  • Family Medicine Physician
  • Anchorage, AK
National Provider Identifier
1689773186
Registry record updated Sep 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
279762 Issued in AK
Legal business name
BURKE IVERSEN INC
Doing business as
Alaska Family Medicine Associates
Practice address
2841 Debarr Rd
Suite 40
Anchorage, AK 99508-2932
Phone
(907) 743-1435
Fax
(907) 743-1400
NPI assigned
Sep 21, 2006
Last updated
Sep 25, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2007

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

Authorized official

Name
Amy L Liddle, MA
Title
Office Manager
Phone
(907) 743-1435

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 279762 AK Primary

Addresses

Primary practice location

2841 Debarr Rd
Suite 40
Anchorage, AK 99508-2932

Mailing address

2841 Debarr Rd
Suite 40
Anchorage, AK 99508-2932
Phone (907) 743-1435

Other names 1

  • Alaska Family Medicine Associates Doing business as

National Provider Directory

National Provider Directory

Locations

2841 Debarr Rd
Ste 40
Anchorage, AK 99508
Phone (907) 264-1435

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190678400000",
    "number": "1689773186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2841 DEBARR RD",
            "address_2": "SUITE 40",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082932",
            "telephone_number": "907-743-1435",
            "fax_number": "907-743-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2841 DEBARR RD",
            "address_2": "SUITE 40",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082932",
            "telephone_number": "907-743-1435",
            "fax_number": "907-743-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURKE IVERSEN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-09-25",
        "status": "A",
        "authorized_official_last_name": "LIDDLE",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "907-743-1435",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AK",
            "license": "279762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alaska Family Medicine Associates",
            "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 Sep 25, 2007; 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.