Organization Active NPI

Mary P. Demers, D.O., & Associates, LLC

  • Internal Medicine Physician
  • Anchorage, AK
National Provider Identifier
1801912902
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
3359 Issued in AK
Legal business name
MARY P. DEMERS, D.O., & ASSOCIATES, LLC
Practice address
4001 Dale St Ste 201
Anchorage, AK 99508-5445
Phone
(907) 263-2201
Fax
(907) 276-0366
NPI assigned
Mar 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

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

Authorized official

Name
Mary P Demers, D.O.NPI 1649236084
Title
Manager
Phone
(907) 263-2200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 3359 AK Primary
Occupational Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083X0100X 3359 AK

Addresses

Primary practice location

4001 Dale St Ste 201
Anchorage, AK 99508-5445

Mailing address

4001 Dale St Ste 201
Anchorage, AK 99508-5445
Phone (907) 263-2201

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070620000362 AK Part B Supplier - Clinic/Group Practice 9537268370 Receives reassigned benefits from 2 practitioners
Practice locations: Anchorage, AK

National Provider Directory

National Provider Directory

Locations

4001 Dale St
Ste 201
Anchorage, AK 99508
Phone (907) 263-2200

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CJJJCD

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680134400000",
    "number": "1801912902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 DALE ST STE 201",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085445",
            "telephone_number": "907-263-2201",
            "fax_number": "907-276-0366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 DALE ST STE 201",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085445",
            "telephone_number": "907-263-2201",
            "fax_number": "907-276-0366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY P. DEMERS, D.O., & ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A",
        "authorized_official_last_name": "DEMERS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "907-263-2200",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "AK",
            "license": "3359",
            "primary": true
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "AK",
            "license": "3359",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; 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.