Active NPI
Gregory H Dostal MD PC
- Plastic and Reconstructive Surgery Physician
- Juneau, AK
National Provider Identifier
1720105034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- Legal business name
- GREGORY H DOSTAL MD PC
- Practice address
- 3225 Hospital Dr
#102
Juneau, AK 99801-7863 - Phone
- (907) 586-3068
- NPI assigned
- Mar 23, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gregory Henry Dostal, MD
- Title
- Owner
- Phone
- (907) 586-3068
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | Primary |
Addresses
Primary practice location
3225 Hospital Dr
#102
Juneau, AK 99801-7863
Mailing address
3225 Hospital Dr
#102
Juneau, AK 99801-7863
Phone (907) 586-3068
National Provider Directory
National Provider DirectoryLocations
3225 Hospital Dr
Unit 102
Juneau, AK 99801
Phone (907) 463-6677
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Juneau, AK
- NPI 1477692838
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196294400000",
"number": "1720105034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3225 HOSPITAL DR",
"address_2": "#102",
"city": "JUNEAU",
"state": "AK",
"postal_code": "998017863",
"telephone_number": "907-586-3068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3225 HOSPITAL DR",
"address_2": "#102",
"city": "JUNEAU",
"state": "AK",
"postal_code": "998017863",
"telephone_number": "907-586-3068"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREGORY H DOSTAL MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-23",
"last_updated": "2007-11-29",
"status": "A",
"authorized_official_last_name": "DOSTAL",
"authorized_official_first_name": "GREGORY",
"authorized_official_middle_name": "HENRY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "907-586-3068",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Juneau, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.