Midtown Medical LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

MIDTOWN MEDICAL LLC

Practice address

500 E Benson Blvd Ste 103
Anchorage, AK 99503-4148

Phone

(907) 802-2442

NPI assigned

Sep 12, 2019

Organization subpart

No

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

Authorized official

Name

Elliott Shawn Woodmansee, DC

Title

Owner

Phone

(907) 802-2435

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1568246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568246400000",
    "number": "1730739723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E BENSON BLVD STE 103",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995034148",
            "telephone_number": "907-802-2442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E BENSON BLVD STE 103",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995034148",
            "telephone_number": "907-802-2442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDTOWN MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-12",
        "last_updated": "2019-09-12",
        "status": "A",
        "authorized_official_last_name": "WOODMANSEE",
        "authorized_official_first_name": "ELLIOTT",
        "authorized_official_middle_name": "SHAWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-802-2435",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Anchorage, AK
• Providers in Anchorage, AK by specialty
• General Practice Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2019; 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.