Alaska Medical Alliance LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

ALASKA MEDICAL ALLIANCE LLC

Practice address

3831 Piper St Ste S220
Anchorage, AK 99508-4680

Phone

(907) 563-3145

NPI assigned

Dec 18, 2018

Last updated

Dec 18, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Cudmore

Title

Billing Manager

Phone

(907) 339-2455

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christopher Albert, PA-C

  • Surgical Physician Assistant
  • Anchorage, AK
  • NPI 1780054445
  NPD (past)
• Adam Nelson, PA-C

  • Physician Assistant
  • Anchorage, AK
  • NPI 1558818864
  NPD (past)

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

{
    "created_epoch": "1545091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545091200000",
    "number": "1851863765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3831 PIPER ST STE S220",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084680",
            "telephone_number": "907-563-3145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3831 PIPER ST STE S220",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084680",
            "telephone_number": "907-563-3145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALASKA MEDICAL ALLIANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-18",
        "last_updated": "2018-12-18",
        "status": "A",
        "authorized_official_last_name": "CUDMORE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "907-339-2455"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Specialist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2018; 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.