Individual provider Active NPI

David W Norcross, PHYSICIAN ASSISTANT

  • Medical Physician Assistant
  • Seward, AK
National Provider Identifier
1790816940
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA130 Issued in AK
Practice address
Spring Creek Correctional Center. Betty Cato Drive
Mile 5 Nash Road
Seward, AK 99664
Phone
(190) 722-4837
Fax
(190) 722-4818
NPI assigned
Mar 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA130 AK Primary

Addresses

Primary practice location

Spring Creek Correctional Center. Betty Cato Drive
Mile 5 Nash Road
Seward, AK 99664

Mailing address

Box 1687
Seward, AK 99662
Phone (907) 224-8374

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140807000253 AK Practitioner - Physician Assistant 1850518382 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PA130AKMDMedical Physician Assistant

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790816940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BOX 1687",
            "city": "SEWARD",
            "state": "AK",
            "postal_code": "99662",
            "telephone_number": "907-224-8374",
            "fax_number": "907-224-8180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SPRING CREEK CORRECTIONAL CENTER. BETTY CATO DRIVE",
            "address_2": "MILE 5 NASH ROAD",
            "city": "SEWARD",
            "state": "AK",
            "postal_code": "99664",
            "telephone_number": "190-722-4837",
            "fax_number": "190-722-4818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORCROSS",
        "first_name": "DAVID",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AK",
            "license": "PA130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seward, AK

Sources for this page

Verify at the official NPI Registry.