Innovative Neurosurgery Associates, LLC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

INNOVATIVE NEUROSURGERY ASSOCIATES, LLC

Practice address

2751 Debarr Rd Ste B285
Anchorage, AK 99508-6817

Phone

(907) 243-0339

Fax

(907) 243-0337

NPI assigned

Apr 6, 2022

Organization subpart

No

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

Authorized official

Name

David Paul Paulson, MD

Title

Owner/President

Phone

(907) 243-0339

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1649203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649203200000",
    "number": "1730820358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2751 DEBARR RD STE B285",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995086817",
            "telephone_number": "907-243-0339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2751 DEBARR RD STE B285",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995086817",
            "telephone_number": "907-243-0339",
            "fax_number": "907-243-0337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE NEUROSURGERY ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-06",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A",
        "authorized_official_last_name": "PAULSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "907-243-0339",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1670001",
            "state": "AK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.innovativeneurosurgery.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "website",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "website",
            "address_1": "2751 DeBarr Rd Ste B285",
            "city": "Anchorage",
            "state": "AK",
            "country_code": "US",
            "postal_code": "995086817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Neurological Surgery Physician in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Neurological Surgery Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; 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.