Active NPI
Nick Sarrimanolis, M.D. LLC
- Internal Medicine Physician
- Fairbanks, AK
National Provider Identifier
1760665012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4668
- Legal business name
- NICK SARRIMANOLIS, M.D. LLC
- Practice address
- 1867 Airport Way Ste 145B
Fairbanks, AK 99701-4055 - Phone
- (907) 451-1174
- Fax
- (907) 451-1173
- NPI assigned
- Dec 10, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nick Sarrimanolis, M.D.
- Title
- Owner
- Phone
- (907) 451-1174
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4668 | AK | Primary |
Addresses
Primary practice location
1867 Airport Way Ste 145B
Fairbanks, AK 99701-4055
Mailing address
1867 Airport Way Ste 145B
Fairbanks, AK 99701-4055
Phone (907) 451-1174
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4668 | Other | AK | AK STATE LICENSE |
| MD42851 | Medicaid | AK |
National Provider Directory
National Provider DirectoryLocations
1867 Airport Way
Ste 145B
Fairbanks, AK 99701
Phone (907) 451-1174
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Medical Physician Assistant
- Fairbanks, AK
- NPI 1033451703
-
- Internal Medicine Physician
- Fairbanks, AK
- NPI 1265792410
-
- Family Medicine Physician
- Fairbanks, AK
- NPI 1093092116
-
- Internal Medicine Physician
- Fairbanks, AK
- NPI 1548223191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197244800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1379030400000",
"number": "1760665012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1867 AIRPORT WAY STE 145B",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997014055",
"telephone_number": "907-451-1174",
"fax_number": "907-451-1173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1867 AIRPORT WAY STE 145B",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997014055",
"telephone_number": "907-451-1174",
"fax_number": "907-451-1173"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NICK SARRIMANOLIS, M.D. LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-10",
"last_updated": "2013-09-13",
"status": "A",
"authorized_official_last_name": "SARRIMANOLIS",
"authorized_official_first_name": "NICK",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "907-451-1174",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "AK",
"license": "4668",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AK STATE LICENSE",
"identifier": "4668",
"state": "AK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MD42851",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fairbanks, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.