Organization Active NPI

Rhene Merkouris MD PC

  • Specialist
  • Anchorage, AK
National Provider Identifier
1689876401
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
4440 Issued in AK
Legal business name
RHENE MERKOURIS MD PC
Practice address
9701 Birch Rd
Anchorage, AK 99507-6657
Phone
(907) 336-6375
Fax
(907) 336-7211
NPI assigned
Jun 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2021

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

Authorized official

Name
Carolyn Rhene Merkouris, MD
Title
Owner
Phone
(907) 336-6375

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 4440 AK Primary

Addresses

Primary practice location

9701 Birch Rd
Anchorage, AK 99507-6657

Mailing address

PO Box 231669
Anchorage, AK 99523-1669
Phone (907) 336-6375

Other identifiers 1

IdentifierTypeStateIssuer
MD3589MedicaidAK

Other names 1

  • Anchorage OBGYN Doing business as

National Provider Directory

National Provider Directory

Locations

2751 Debarr Rd
Ste B285
Anchorage, AK 99508
Phone (907) 243-0339

NPI Registry JSON

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614556800000",
    "number": "1689876401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 231669",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995231669",
            "telephone_number": "907-336-6375",
            "fax_number": "907-336-7211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9701 BIRCH RD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995076657",
            "telephone_number": "907-336-6375",
            "fax_number": "907-336-7211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RHENE MERKOURIS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A",
        "authorized_official_last_name": "MERKOURIS",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "RHENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-336-6375",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AK",
            "license": "4440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD3589",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anchorage OBGYN",
            "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 Mar 1, 2021; 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.