U.S. Healthworks Medical Group of Alaska, LLC

Primary specialty

Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X

Legal business name

U.S. HEALTHWORKS MEDICAL GROUP OF ALASKA, LLC

Practice address

1867 Airport Way
Suite 130B
Fairbanks, AK 99701-4054

Phone

(907) 452-2178

Fax

(907) 452-3178

NPI assigned

Oct 6, 2016

Last updated

Oct 6, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

U.S. HEALTHWORKS MEDICAL GROUP OF ALASKA, LLCAs reported in NPPES

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

Authorized official

Name

Joseph T Mallas

Title

President

Phone

(661) 678-2600

Specialties & licenses 2

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

US Healthworks Medical5 organizations share this tax ID, including this one

Part of

US Healthworks Medical

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

• U.S. Healthworks Medical Group of Alaska, LLC

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Anchorage, AK
  • NPI 1043761695
  NPD tax ID
• U.S. Healthworks Medical Group of Alaska, LLC

  • Urgent Care Clinic/Center
  • Anchorage, AK
  • NPI 1053862607
  NPD tax ID
• U.S. Healthworks Medical Group of Alaska, LLC

  • Urgent Care Clinic/Center
  • Anchorage, AK
  • NPI 1063962769
  NPD tax ID
• U.S. Healthworks Medical Group of Alaska, LLC

  • Urgent Care Clinic/Center
  • Eagle River, AK
  • NPI 1730639436
  NPD tax ID

Locations

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

{
    "created_epoch": "1475712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475712000000",
    "number": "1922558527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25124 SPRINGFIELD CT",
            "address_2": "SUITE 200",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913551085",
            "telephone_number": "661-678-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1867 AIRPORT WAY",
            "address_2": "SUITE 130B",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997014054",
            "telephone_number": "907-452-2178",
            "fax_number": "907-452-3178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "U.S. HEALTHWORKS MEDICAL GROUP OF ALASKA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "U.S. HEALTHWORKS MEDICAL GROUP OF ALASKA, LLC",
        "enumeration_date": "2016-10-06",
        "last_updated": "2016-10-06",
        "status": "A",
        "authorized_official_last_name": "MALLAS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-678-2600"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Preventive Medicine/Occupational Environmental Medicine Physician in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Preventive Medicine/Occupational Environmental Medicine Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.