Organization Active NPI

Ucfa Physicians Network Group of Alaska

  • Family Medicine Physician
  • Anchorage, AK
National Provider Identifier
1912679242
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
UCFA PHYSICIANS NETWORK GROUP OF ALASKA
Practice address
5432 E Northern Lights Blvd
Anchorage, AK 99508-4713
Phone
(423) 271-9911
NPI assigned
Oct 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2021

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

Authorized official

Name
Theo Stephens
Title
Acting Chief PNG
Phone
(423) 271-9911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

5432 E Northern Lights Blvd
Anchorage, AK 99508-4713

Mailing address

8930 Cross Park Dr Ste 3
Knoxville, TN 37923-4713
Phone (423) 271-9911

National Provider Directory

National Provider Directory

Locations

5432 E Northern Lights Blvd
Anchorage, AK 99508
Phone (907) 205-4366

NPI Registry JSON

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

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633392000000",
    "number": "1912679242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8930 CROSS PARK DR STE 3",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234713",
            "telephone_number": "423-271-9911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5432 E NORTHERN LIGHTS BLVD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084713",
            "telephone_number": "423-271-9911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UCFA PHYSICIANS NETWORK GROUP OF ALASKA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-05",
        "last_updated": "2021-10-05",
        "certification_date": "2021-09-20",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "THEO",
        "authorized_official_title_or_position": "ACTING CHIEF PNG",
        "authorized_official_telephone_number": "423-271-9911"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 5, 2021; 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.