Individual provider Active NPI

Paul Wood Finch Jr., PA-C

  • Physician Assistant
  • Fairbanks, AK
National Provider Identifier
1871568295
Registry record updated Nov 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
185 Issued in AK
Practice address
626 2ND St Ste 201B
Fairbanks, AK 99701-3466
Phone
(907) 374-3869
Fax
(907) 374-3870
NPI assigned
Feb 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 185 AK Primary

Addresses

Primary practice location

626 2ND St Ste 201B
Fairbanks, AK 99701-3466

Mailing address

626 2ND St Ste 201B
Fairbanks, AK 99701-3466
Phone (907) 374-3869

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
North Country Medical, LLC CurrentSince Aug 2, 2016 Accepting new patients

Locations

626 2nd St
Ste 201B
Fairbanks, AK 99701
Phone (907) 374-3869

Interoperability endpoints

  • Direct secure messaging: paul.finch.1@18773.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1140393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477958400000",
    "number": "1871568295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 2ND ST STE 201B",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997013466",
            "telephone_number": "907-374-3869",
            "fax_number": "907-374-3870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 2ND ST STE 201B",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997013466",
            "telephone_number": "907-374-3869",
            "fax_number": "907-374-3870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINCH",
        "first_name": "PAUL",
        "middle_name": "WOOD",
        "name_suffix": "Jr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-20",
        "last_updated": "2016-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AK",
            "license": "185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairbanks, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2016; 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.