NPIMap

Organization Active NPI

Northstarr Cardiothoracic Surgery, LLC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Anchorage, AK
National Provider Identifier
1922508514
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
Legal business name
NORTHSTARR CARDIOTHORACIC SURGERY, LLC
Practice address
3841 Piper St # T382
Anchorage, AK 99508-4624
Phone
(907) 917-2200
Fax
(907) 865-7944
NPI assigned
Feb 20, 2018
Last updated
Oct 26, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Authorized official

Name
Lisa D Anderson
Title
Cfo
Phone
(503) 297-1419

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208G00000X Primary

Addresses

Primary practice location

3841 Piper St # T382
Anchorage, AK 99508-4624

Mailing address

PO Box 35145
#196240
Seattle, WA 98124-5145
Phone (503) 297-1419

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181115002668 AK Part B Supplier - Clinic/Group Practice 4789938499 Receives reassigned benefits from 14 practitioners
Practice locations: Anchorage, AK

National Provider Directory

National Provider Directory

Locations

3841 Piper St
Ste T382
Anchorage, AK 99508
Phone (907) 917-2200

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1519084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698278400000",
    "number": "1922508514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35145",
            "address_2": "#196240",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981245145",
            "telephone_number": "503-297-1419",
            "fax_number": "503-512-7916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3841 PIPER ST # T382",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084624",
            "telephone_number": "907-917-2200",
            "fax_number": "907-865-7944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSTARR CARDIOTHORACIC SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-20",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "503-297-1419"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "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 26, 2023; 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.