Organization Active NPI

Gregory H Dostal MD PC

  • Plastic and Reconstructive Surgery Physician
  • Juneau, AK
National Provider Identifier
1720105034
Registry record updated Nov 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
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

Updated by the provider on Nov 29, 2007

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)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.