Thomas Samuel Nighswander, M.D. MPH
Individual provider Active NPI Family Medicine Physician · Anchorage, AK
NPI 1821080888 · NPPES record last updated Aug 5, 2021
Key facts
- NPI
- 1821080888
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 4060 (AK)
- Practice address
- 1201 E 36TH Ave
Anchorage, AK 99508 - Phone
- (907) 562-9229
- Fax
- (907) 562-1603
- NPI assigned
- Aug 16, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1971
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Select Physical Therapy Holdings Inc
Providence Health and Services- Washington
Practice addresses (Care Compare)
10928 Eagle River Rd
Eagle River, AK 99577-8078
Phone (907) 694-8085
1201 E 36TH Ave
Anchorage, AK 99508-4372
Phone (907) 562-9229
910 Compassion Cir
Anchorage, AK 99504-1645
Phone (907) 212-9100
920 Compassion Cir
Anchorage, AK 99504-1645
Phone (907) 212-9200
Hospital & facility affiliations
- Providence Alaska Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in AK, TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110310000957 | AK | Practitioner - Family Practice | 7012199136 | Reassigns benefits to 1 organization |
| I20120910000560 | TX | Practitioner - Family Practice | 7012199136 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4060 | AK | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services- Washington | Current |
Accepting new patients | |
| Alaska Native Tribal Health Consortium | Current |
Accepting new patients | |
| Southcentral Foundation | Past | Accepting new patients | |
| Southcentral Foundation | Past | Accepting new patients |
Locations
1201 E 36th Ave
Anchorage, AK 99508
Phone (907) 562-9229
3200 Providence Dr
Anchorage, AK 99508
Phone (907) 261-3111
4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729
4320 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-0000
920 Compassion Cir
Anchorage, AK 99504
Phone (907) 212-9200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4060 | AK | Yes |
Addresses
Primary practice location
1201 E 36TH Ave
Anchorage, AK 99508
Mailing address
PO Box 4105
Portland, OR 97208-4105
Phone (866) 907-1068
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tnighswander21193@ak.providencedirect.org |
Other providers in Anchorage, AK
- Robert C Nielsen
- Shawn Nielsen
- Timothy Nienhueser
- Angela Nieto
- Kelsey Janet Nieto
- Nightingale Assisted Living Home LLC
- Diana May Nika
- Cheyenne Nikerle
- Nile P. Ersland, DDS, PC
- Kristen Eileen Nilsson
All providers in Anchorage, AK · Family Medicine Physician in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.