Alaska Digestive and Liver Disease, LLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

ALASKA DIGESTIVE AND LIVER DISEASE, LLC

Practice address

3851 Piper St Ste U466
Anchorage, AK 99508-6905

Phone

(907) 569-1333

Fax

(907) 569-1433

NPI assigned

Jul 13, 2020

Last updated

Jul 13, 2020By 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

Brittany Tylor Ryznar, RN

Title

Practice Manager

Phone

(907) 569-1333

Specialties & licenses 7

Addresses

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HAFECA

Practitioners 4

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.

• Ciara Jordan Stoutenburgh, PA-C

  • Medical Physician Assistant
  • Anchorage, AK
  • NPI 1902140130
  Medicare reassignment Care Compare group NPD
• Melanie Thelen, PA-C

  • Physician Assistant
  • Anchorage, AK
  • NPI 1609544121
  Medicare reassignment Care Compare group NPD
• Erica J Heagy, FNP

  • Family Nurse Practitioner
  • Anchorage, AK
  • NPI 1134218720
  Medicare reassignment NPD
• Terri Tope, ANP

  • Nurse Practitioner
  • Anchorage, AK
  • NPI 1427090919
  Medicare reassignment NPD

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

{
    "created_epoch": "1594598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594598400000",
    "number": "1851919146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3851 PIPER ST STE U466",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995086905",
            "telephone_number": "907-569-1333",
            "fax_number": "907-569-1433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3851 PIPER ST STE U466",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995086905",
            "telephone_number": "907-569-1333",
            "fax_number": "907-569-1433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALASKA DIGESTIVE AND LIVER DISEASE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-13",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A",
        "authorized_official_last_name": "RYZNAR",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_middle_name": "TYLOR",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "907-569-1333",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163WG0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "163WI0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alaska Dental Center
• Alaska Dental Group P.C.
• Alaska Dental Outreach Consortium
• Alaska Dentistry for Kids, LLC
• Alaska Dialysis - Laurel Street, LLC
• Alaska Digestive Center, LLC
• Alaska Dinner Factory, Inc.
• Alaska Diversified Speech LLC
• Alaska Ear Nose & Throat, Inc
• Alaska Ehealth Network (healtheConnect Alaska)

• Gastroenterology Physician in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Gastroenterology Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.