NPIMap

Organization Active NPI

Anchorage Osteopathic Medical Clinic

  • Family Medicine Physician
  • Anchorage, AK
National Provider Identifier
1720155856
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2781 Issued in AK
Legal business name
ANCHORAGE OSTEOPATHIC MEDICAL CLINIC
Practice address
300 E Dimond Blvd
#12
Anchorage, AK 99515-1908
Phone
(907) 341-7727
Fax
(907) 341-7760
NPI assigned
Nov 30, 2006
Last updated
Jun 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Maury Allen Oswald, DONPI 1265509681
Title
Owner
Phone
(907) 341-7727

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 2781 AK Primary

Addresses

Primary practice location

300 E Dimond Blvd
#12
Anchorage, AK 99515-1908

Mailing address

300 E Dimond Blvd
#12
Anchorage, AK 99515-1908
Phone (907) 341-7727

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": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1720155856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E DIMOND BLVD",
            "address_2": "#12",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995151908",
            "telephone_number": "907-341-7727",
            "fax_number": "907-341-7760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E DIMOND BLVD",
            "address_2": "#12",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995151908",
            "telephone_number": "907-341-7727",
            "fax_number": "907-341-7760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANCHORAGE OSTEOPATHIC MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "OSWALD",
        "authorized_official_first_name": "MAURY",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-341-7727",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AK",
            "license": "2781",
            "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 Jun 17, 2008; 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.