Organization Active NPI

Last Frontier Neurosurgery

Doing business as Arctic Spine

  • Specialist
  • Anchorage, AK
National Provider Identifier
1841612132
Registry record updated Jun 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
7202 Issued in AK
Legal business name
LAST FRONTIER NEUROSURGERY
Doing business as
Arctic Spine
Practice address
3650 Lake Otis Pkwy
Suite 202
Anchorage, AK 99508-5218
Phone
(907) 222-6500
Fax
(907) 222-6550
NPI assigned
Jan 6, 2014
Organization subpart
Yes
Parent organization
MARIUS MAXWELLAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 2, 2014

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

Authorized official

Name
Marius Maxwell, MD
Title
Owner
Phone
(907) 222-6500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 7202 AK Primary

Addresses

Primary practice location

3650 Lake Otis Pkwy
Suite 202
Anchorage, AK 99508-5218

Mailing address

3650 Lake Otis Pkwy
Suite 202
Anchorage, AK 99508-5218
Phone (907) 222-6500

Other names 1

  • Arctic Spine Doing business as

National Provider Directory

National Provider Directory
Part of
Last Frontier Neurosurgery

Locations

3650 Lake Otis Pkwy
Ste 202
Anchorage, AK 99508
Phone (907) 222-6500

NPI Registry JSON

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

{
    "created_epoch": "1388966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401667200000",
    "number": "1841612132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 LAKE OTIS PKWY",
            "address_2": "SUITE 202",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085218",
            "telephone_number": "907-222-6500",
            "fax_number": "907-222-6550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 LAKE OTIS PKWY",
            "address_2": "SUITE 202",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085218",
            "telephone_number": "907-222-6500",
            "fax_number": "907-222-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAST FRONTIER NEUROSURGERY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARIUS MAXWELL",
        "enumeration_date": "2014-01-06",
        "last_updated": "2014-06-02",
        "status": "A",
        "authorized_official_last_name": "MAXWELL",
        "authorized_official_first_name": "MARIUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-222-6500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AK",
            "license": "7202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arctic Spine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2014; 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.