Organization Active NPI

North Pacific Neuromonitoring Associates, P.C.

  • Neurology Physician
  • Anchorage, AK
National Provider Identifier
1710157995
Registry record updated Mar 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
5036 Issued in AK
Legal business name
NORTH PACIFIC NEUROMONITORING ASSOCIATES, P.C.
Practice address
2100 N Star St
Anchorage, AK 99503-1819
Phone
(907) 727-9393
Fax
(410) 740-2371
NPI assigned
Mar 4, 2008
Last updated
Mar 28, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2018

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

Authorized official

Name
Lindsey Ann Wiseman
Title
Manager, Billing and Collections
Phone
(734) 773-4380

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 5036 AK Primary

Addresses

Primary practice location

2100 N Star St
Anchorage, AK 99503-1819

Mailing address

10275 Little Patuxent Pkwy Ste 300
Columbia, MD 21044-3445
Phone (888) 464-2466

Other identifiers 1

IdentifierTypeStateIssuer
MD50361MedicaidAK

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1204588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522195200000",
    "number": "1710157995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10275 LITTLE PATUXENT PKWY STE 300",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443445",
            "telephone_number": "888-464-2466",
            "fax_number": "410-740-2371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 N STAR ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995031819",
            "telephone_number": "907-727-9393",
            "fax_number": "410-740-2371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH PACIFIC NEUROMONITORING ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-04",
        "last_updated": "2018-03-28",
        "status": "A",
        "authorized_official_last_name": "WISEMAN",
        "authorized_official_first_name": "LINDSEY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "MANAGER, BILLING AND COLLECTIONS",
        "authorized_official_telephone_number": "734-773-4380"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AK",
            "license": "5036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD50361",
            "state": "AK"
        }
    ],
    "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 Mar 28, 2018; 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.