NPIMap

Organization Active NPI

Valley Surgical Associates, Inc

  • Surgery Physician
  • Palmer, AK
National Provider Identifier
1821047671
Registry record updated Dec 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
1660 Issued in AK
Legal business name
VALLEY SURGICAL ASSOCIATES, INC
Practice address
2490 S Woodworth Loop
Suite 450
Palmer, AK 99645-7405
Phone
(907) 745-8100
Fax
(907) 746-2655
NPI assigned
May 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2007

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

Authorized official

Name
Michael Ross Senta, M.D.NPI 1366443871
Title
President
Phone
(907) 745-8100

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X 1660 AK Primary

Addresses

Primary practice location

2490 S Woodworth Loop
Suite 450
Palmer, AK 99645-7405

Mailing address

2490 S Woodworth Loop
Suite 450
Palmer, AK 99645-7405
Phone (907) 745-8100

Other identifiers 1

IdentifierTypeStateIssuer
MD1660MedicaidAK

National Provider Directory

National Provider Directory

Locations

561 S Denali St
Ste D
Palmer, AK 99645
Phone (907) 707-0298

Practitioners & affiliated clinicians

Practitioners 1

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": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197936000000",
    "number": "1821047671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2490 S WOODWORTH LOOP",
            "address_2": "SUITE 450",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996457405",
            "telephone_number": "907-745-8100",
            "fax_number": "907-746-2655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2490 S WOODWORTH LOOP",
            "address_2": "SUITE 450",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996457405",
            "telephone_number": "907-745-8100",
            "fax_number": "907-746-2655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY SURGICAL ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2007-12-18",
        "status": "A",
        "authorized_official_last_name": "SENTA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ROSS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "907-745-8100",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "AK",
            "license": "1660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD1660",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmer, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.