Organization Active NPI

Alaska Physician Services,LLC

  • General Practice Physician
  • Wasilla, AK
National Provider Identifier
1912946310
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
ALASKA PHYSICIAN SERVICES,LLC
Practice address
3223 Palmer Wasilla Hwy
Ste 2
Wasilla, AK 99654-7236
Phone
(907) 357-9593
NPI assigned
Jun 5, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
V Karen Flinn
Title
VP
Phone
(361) 579-0315

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X Primary

Addresses

Primary practice location

3223 Palmer Wasilla Hwy
Ste 2
Wasilla, AK 99654-7236

Mailing address

3223 Palmer Wasilla Hwy
Ste 2
Wasilla, AK 99654-7236
Phone (907) 357-9593

Other identifiers 1

IdentifierTypeStateIssuer
MDG650MedicaidAK

National Provider Directory

National Provider Directory

Locations

3223 E Palmer Wasilla Hwy
Ste 2
Wasilla, AK 99654
Phone (907) 357-9593

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912946310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3223 PALMER WASILLA HWY",
            "address_2": "STE 2",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547236",
            "telephone_number": "907-357-9593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3223 PALMER WASILLA HWY",
            "address_2": "STE 2",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547236",
            "telephone_number": "907-357-9593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALASKA PHYSICIAN SERVICES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FLINN",
        "authorized_official_first_name": "V",
        "authorized_official_middle_name": "KAREN",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "361-579-0315"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MDG650",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wasilla, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.