Leonard D Sisk, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

2697 Issued in AK

Practice address

3200 Providence Dr
Anchorage, AK 99508-4661

Phone

(907) 261-3641

Fax

(907) 565-8066

NPI assigned

Sep 26, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436313600000",
    "number": "1851387781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3427 E TUDOR RD",
            "address_2": "STE A",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995071282",
            "telephone_number": "907-563-3679",
            "fax_number": "907-565-8066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 PROVIDENCE DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084661",
            "telephone_number": "907-261-3641",
            "fax_number": "907-565-8066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SISK",
        "first_name": "LEONARD",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-26",
        "last_updated": "2015-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AK",
            "license": "2697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MDZ697",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Muamai Carmelita Sione
• Whitney Rae Sione
• Maria Heidi Sipin, DDS
• Michael Sipple, BHCM
• Mama Sisay
• Thomas Sisk, LPN
• Matthew Sitter
• Taylor Sitter
• Lori A Sivitz, PT
• Patricia L Siza, MD

• Diagnostic Radiology Physician in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Diagnostic Radiology Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2015; 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.