NPIMap

Organization Active NPI

Bartlett Regional Hospital

Doing business as Bartlett Anesthesia Services

  • Anesthesiology Physician
  • Juneau, AK
National Provider Identifier
1750143673
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
BARTLETT REGIONAL HOSPITAL
Doing business as
Bartlett Anesthesia Services
Practice address
3260 Hospital Dr
Juneau, AK 99801-7808
Phone
(907) 796-8769
Fax
(907) 796-8455
NPI assigned
Jan 25, 2024
Last updated
Dec 27, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
CITY AND BOROUGH OF JUNEAU ALASKAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 27, 2024

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

Authorized official

Name
Joseph Matthew Wanner
Title
Chief Executive Officer
Phone
(907) 796-8687

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X Primary

Addresses

Primary practice location

3260 Hospital Dr
Juneau, AK 99801-7808

Mailing address

3260 Hospital Dr
Juneau, AK 99801-7808
Phone (907) 796-8769

Other names 1

  • Bartlett Anesthesia Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240312003563 AK Part B Supplier - Clinic/Group Practice 7911343967 Receives reassigned benefits from 6 practitioners
Practice locations: Juneau, AK

National Provider Directory

National Provider Directory

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 7

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": "1706140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735257600000",
    "number": "1750143673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3260 HOSPITAL DR",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998017808",
            "telephone_number": "907-796-8769",
            "fax_number": "907-796-8455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3260 HOSPITAL DR",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998017808",
            "telephone_number": "907-796-8769",
            "fax_number": "907-796-8455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARTLETT REGIONAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CITY AND BOROUGH OF JUNEAU ALASKA",
        "enumeration_date": "2024-01-25",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A",
        "authorized_official_last_name": "WANNER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "907-796-8687"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bartlett Anesthesia Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bartlett Anesthesia Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Juneau, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.