Individual provider Active NPI

John Harvey Huttenlocher, M.D.

  • Anesthesiology Physician
  • Anchorage, AK
National Provider Identifier
1841532009
Registry record updated Dec 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
121043 Issued in AK
Practice address
3300 Providence Dr Ste 207
Anchorage, AK 99508-4620
Phone
(907) 279-0555
NPI assigned
Mar 25, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Anesthesiology Physician 207L00000X 121043 AK Primary

Addresses

Primary practice location

3300 Providence Dr Ste 207
Anchorage, AK 99508-4620

Mailing address

3300 Providence Dr Ste 207
Anchorage, AK 99508-4620
Phone (907) 279-0555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK, NH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170712003018 AK Practitioner - Anesthesiology 0648549246 Reassigns benefits to 1 organization
I20231128001646 NH Practitioner - Anesthesiology 0648549246 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Washington School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amoskeag Anesthesia PLLCGroup PAC ID 1759375983, 165 clinicians

Practice addresses (Care Compare)

1 Elliot Way
Manchester, NH 03103-3502
Phone (603) 663-2431

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
121043AKMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Amoskeag Anesthesia, PLLC Anesthesiology CurrentSince Sep 13, 2023 Accepting new patients
Providence Anchorage Anesthesia Medical Group, P.C. Anesthesiology CurrentSince Jul 1, 2017 Accepting new patients
University Hospitals Medical Group Inc Anesthesiology PastSince Jul 1, 2017 Accepting new patients

Locations

3200 Providence Dr
Anchorage, AK 99508
Phone (907) 261-3111

3300 Providence Dr
Ste 207
Anchorage, AK 99508
Phone (907) 279-0555

1 Elliot Way
Ste 200
Manchester, NH 03103
Phone (603) 623-4640

1 Elliot Way
Manchester, NH 03103
Phone (603) 663-2271

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1364169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1841532009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 PROVIDENCE DR STE 207",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084620",
            "telephone_number": "907-279-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 PROVIDENCE DR STE 207",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084620",
            "telephone_number": "907-279-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTTENLOCHER",
        "first_name": "JOHN",
        "middle_name": "HARVEY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-25",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AK",
            "license": "121043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.