Active NPI
Paul M Skan M D CHTD
- Anesthesiology Physician
- Juneau, AK
National Provider Identifier
1811414923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- PAUL M SKAN M D CHTD
- Practice address
- 3260 Hospital Dr
Juneau, AK 99801-7808 - Phone
- (907) 796-8631
- NPI assigned
- Aug 29, 2017
- 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
- Paul M Skan, MD
- Title
- Pres
- Phone
- (907) 321-0005
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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) 796-8631
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013373 | Medicaid | AK |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503964800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1811414923",
"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": "907-796-8631"
},
{
"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": "907-796-8631"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAUL M SKAN M D CHTD",
"organizational_subpart": "NO",
"enumeration_date": "2017-08-29",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "SKAN",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRES",
"authorized_official_telephone_number": "907-321-0005",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1013373",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}
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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.