Alaska Advantage Medcare LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ALASKA ADVANTAGE MEDCARE LLC

Practice address

247 S Alaska St
Palmer, AK 99645-6335

Phone

(907) 268-2763

NPI assigned

Apr 24, 2023

Last updated

Apr 24, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Karla Orea

Title

Owner

Phone

(907) 268-2763

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1682294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682294400000",
    "number": "1699462291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 S ALASKA ST",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996456335",
            "telephone_number": "907-268-2763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 S ALASKA ST",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996456335",
            "telephone_number": "907-268-2763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALASKA ADVANTAGE MEDCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-24",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-23",
        "status": "A",
        "authorized_official_last_name": "OREA",
        "authorized_official_first_name": "KARLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-268-2763"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Palmer, AK
• Providers in Palmer, AK by specialty
• Internal Medicine Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; 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.