NPIMap

Organization Active NPI

Coastal Neurology and Neurosurgery, Inc

  • Neurological Surgery Physician
  • Anchorage, AK
National Provider Identifier
1689927626
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
957948 Issued in AK
Legal business name
COASTAL NEUROLOGY AND NEUROSURGERY, INC
Practice address
301 W Northern Lights Blvd Ste 400
Anchorage, AK 99503-2648
Phone
(907) 563-4810
Fax
(907) 563-4811
NPI assigned
Oct 15, 2012
Last updated
Sep 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Authorized official

Name
Susanne Elisabeth Fix, MDNPI 1497866578
Title
President
Phone
(907) 562-4142

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 957948 AK Primary

Addresses

Primary practice location

301 W Northern Lights Blvd Ste 400
Anchorage, AK 99503-2648

Mailing address

301 W Northern Lights Blvd Ste 400
Anchorage, AK 99503-2648
Phone (907) 563-4810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130128000361 AK Part B Supplier - Clinic/Group Practice 9436303427 Receives reassigned benefits from 17 practitioners
Practice locations: Anchorage, AK; Wasilla, AK

National Provider Directory

National Provider Directory

Locations

301 W Northern Lights Blvd
Ste 400
Anchorage, AK 99503
Phone (907) 563-4810

Practitioners & affiliated clinicians

Practitioners 21

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 21

NPI Registry JSON

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

{
    "created_epoch": "1350259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759190400000",
    "number": "1689927626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W NORTHERN LIGHTS BLVD STE 400",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995032648",
            "telephone_number": "907-563-4810",
            "fax_number": "907-563-4811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W NORTHERN LIGHTS BLVD STE 400",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995032648",
            "telephone_number": "907-563-4810",
            "fax_number": "907-563-4811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL NEUROLOGY AND NEUROSURGERY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-15",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A",
        "authorized_official_last_name": "FIX",
        "authorized_official_first_name": "SUSANNE",
        "authorized_official_middle_name": "ELISABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "907-562-4142",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "AK",
            "license": "957948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.