Individual provider Active NPI

Thomas S Strain

  • Physician Assistant
  • Fort Wainwright, AK
National Provider Identifier
1730243072
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
Commander USA Meddac Ak McUc QM (Attn Credentials)
2060 Gaffney Rd Ste 7440
Ft Wainwright, AK 99703-7440
Phone
(907) 353-5418
Fax
(907) 353-4847
NPI assigned
Dec 21, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

Commander USA Meddac Ak McUc QM (Attn Credentials)
2060 Gaffney Rd Ste 7440
Ft Wainwright, AK 99703-7440

Mailing address

Commander USA Meddac Ak McUc QM (Attn Credentials)
2060 Gaffney Rd Ste 7440
Ft Wainwright, AK 99703-7440
Phone (907) 353-5418

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230106001491 MN Order and Referring Only - Family PracticePractitioner - Family PracticePractitioner - Other (Physician) 0042680167

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730243072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COMMANDER USA MEDDAC AK MCUC QM (ATTN CREDENTIALS)",
            "address_2": "2060 GAFFNEY RD STE 7440",
            "city": "FT WAINWRIGHT",
            "state": "AK",
            "postal_code": "997037440",
            "telephone_number": "907-353-5418",
            "fax_number": "907-353-4847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COMMANDER USA MEDDAC AK MCUC QM (ATTN CREDENTIALS)",
            "address_2": "2060 GAFFNEY RD STE 7440",
            "city": "FT WAINWRIGHT",
            "state": "AK",
            "postal_code": "997037440",
            "telephone_number": "907-353-5418",
            "fax_number": "907-353-4847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRAIN",
        "first_name": "THOMAS",
        "middle_name": "S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wainwright, AK

Sources for this page

Verify at the official NPI Registry.