Alfred D Deramus MD a Professional Corporation

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD1850 Issued in AK

Legal business name

ALFRED D DERAMUS MD A PROFESSIONAL CORPORATION

Practice address

4001 Geist Rd
Suite 9
Fairbanks, AK 99709-3552

Phone

(907) 479-0852

Fax

(907) 479-0859

NPI assigned

Dec 3, 2009

Last updated

Dec 3, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Vanessa Korsgren

Title

Office Manager

Phone

(907) 479-0852

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Andrea Forte, COA

  • Ophthalmic Assistant
  • Fairbanks, AK
  • NPI 1972787281
  NPD (past)

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

{
    "created_epoch": "1259798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259798400000",
    "number": "1730417619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 GEIST RD",
            "address_2": "SUITE 9",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997093552",
            "telephone_number": "907-479-0852",
            "fax_number": "907-479-0859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 GEIST RD",
            "address_2": "SUITE 9",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997093552",
            "telephone_number": "907-479-0852",
            "fax_number": "907-479-0859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALFRED D DERAMUS MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-03",
        "last_updated": "2009-12-03",
        "status": "A",
        "authorized_official_last_name": "KORSGREN",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "907-479-0852"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AK",
            "license": "MD1850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD1850",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alisa Jocelyn Alexander, M.D.
• Gregory Charles Alexander
• Hannah Micaela Alexander, RN
• Laverne L Alexander
• Sierra Alexander, PT
• Marjorie Grierson Allan, A.N.P.
• Beverly Allen-Majors
• Alissa Merrily Allen
• Angela Allen
• Angela Renae Allen, LMSW

• Ophthalmology Physician in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Ophthalmology Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2009; 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.