Individual provider Active NPI

Craig S Sink

  • Physician Assistant
  • Anchorage, AK
National Provider Identifier
1811045552
Registry record updated Nov 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1070759
Practice address
800 Cordova St
Anchorage, AK 99501-3717
Phone
(907) 375-4311
NPI assigned
Jan 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1070759 Primary

Addresses

Primary practice location

800 Cordova St
Anchorage, AK 99501-3717

Mailing address

33508 SE Wood Dr
Washougal, WA 98671-9660
Phone (360) 907-9109

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20241203004054 AZ Practitioner - Physician Assistant 3577099373 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Nebraska College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
W Milyani MD PLLCGroup PAC ID 9133502008, 6 clinicians

Practice addresses (Care Compare)

1951 Mesquite Ave
Suite F
Lake Havasu City, AZ 86403-5746
Phone (928) 953-9333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289952000000",
    "number": "1811045552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33508 SE WOOD DR",
            "city": "WASHOUGAL",
            "state": "WA",
            "postal_code": "986719660",
            "telephone_number": "360-907-9109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 CORDOVA ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995013717",
            "telephone_number": "907-375-4311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINK",
        "first_name": "CRAIG",
        "middle_name": "S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2010-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": "1070759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.