Organization Active NPI

Aurora Maternal Fetal Medicine LLC

  • Maternal & Fetal Medicine Physician
  • Anchorage, AK
National Provider Identifier
1881184554
Registry record updated May 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
7157 Issued in AK
Legal business name
AURORA MATERNAL FETAL MEDICINE LLC
Practice address
4120 Laurel St Ste 203
Anchorage, AK 99508-5392
Phone
(907) 317-4332
NPI assigned
May 17, 2018
Last updated
May 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2018

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

Authorized official

Name
Linda Carroll
Title
Practice Manager
Phone
(907) 317-4332

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VM0101X 7157 AK Primary

Addresses

Primary practice location

4120 Laurel St Ste 203
Anchorage, AK 99508-5392

Mailing address

4120 Laurel St Ste 203
Anchorage, AK 99508-5392

Other identifiers 1

IdentifierTypeStateIssuer
7157OtherAKAK PROVIDER LICENSE

National Provider Directory

National Provider Directory

Locations

4120 Laurel St
Ste 203
Anchorage, AK 99508
Phone (907) 677-2636

NPI Registry JSON

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

{
    "created_epoch": "1526515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526515200000",
    "number": "1881184554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4120 LAUREL ST STE 203",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4120 LAUREL ST STE 203",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085392",
            "telephone_number": "907-317-4332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AURORA MATERNAL FETAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-17",
        "last_updated": "2018-05-17",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "907-317-4332"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "AK",
            "license": "7157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AK PROVIDER LICENSE",
            "identifier": "7157",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 May 17, 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.