NPIMap

Organization Active NPI

Medical Network of Alaska, LLC

Doing business as Resound ENT

  • Otolaryngology Physician
  • Anchorage, AK
National Provider Identifier
1922862986
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
MEDICAL NETWORK OF ALASKA, LLC
Doing business as
Resound ENT
Practice address
1100 E Dimond Blvd
Anchorage, AK 99515-2010
Phone
(907) 864-4625
NPI assigned
Feb 9, 2024
Last updated
Feb 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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

Authorized official

Name
Jacquelyn Renee Blomker
Title
Director of Revenue Cycle
Phone
(907) 357-9590

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X NU Primary

Addresses

Primary practice location

1100 E Dimond Blvd
Anchorage, AK 99515-2010

Mailing address

3122 E Meridian Park Loop
Wasilla, AK 99654-7255
Phone (907) 357-9590

Other names 1

  • Resound ENT Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070424000329 AK Part B Supplier - Clinic/Group Practice 3072618859 Receives reassigned benefits from 103 practitioners
15 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Palmer, AK; Wasilla, AK; Kenai, AK; Eagle River, AK; Anchorage, AK

Other NPIs on the same Medicare enrollment 15

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 15

National Provider Directory

National Provider Directory
Tax ID family
Capstone Family Medicine LLC9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Locations

1751 Patterson St
Anchorage, AK 99504

301 Calista Ct
Anchorage, AK 99518
Phone (682) 216-6392

4300 E 20th Ave
Anchorage, AK 99508
Phone (907) 333-2032

4361 Boniface Pkwy
Ste 2
Anchorage, AK 99504
Phone (907) 333-2133

5000 Spenard Rd
Anchorage, AK 99517

605 W Fireweed Ln
Anchorage, AK 99503

8427 Lake Otis Pkwy
Anchorage, AK 99507

17025 Snowmobile Ln
Ste 102
Eagle River, AK 99577
Phone (907) 357-2800

3121 Airport Way
Fairbanks, AK 99709

6450 Airport Way
Fairbanks, AK 99709

1873 Shell Simmons Dr
Juneau, AK 99801

1000 Airport Terminal Way
Ketchikan, AK 99901

301 N Santa Claus Ln
Lot 7
North Pole, AK 99705

12039 E Maple Springs Way
Ste A
Palmer, AK 99645
Phone (907) 745-9088

1977 E Bogard Rd
Wasilla, AK 99654

3505 E Meridian Park Loop
Ste 101
Wasilla, AK 99654
Phone (907) 261-7117

3765 E Blue Lupine Dr
Ste C
Wasilla, AK 99654
Phone (907) 357-9560

Practitioners & affiliated clinicians

Practitioners 102

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 102

NPI Registry JSON

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

{
    "created_epoch": "1707436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707436800000",
    "number": "1922862986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3122 E MERIDIAN PARK LOOP",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547255",
            "telephone_number": "907-357-9590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E DIMOND BLVD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995152010",
            "telephone_number": "907-864-4625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL NETWORK OF ALASKA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-09",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A",
        "authorized_official_last_name": "BLOMKER",
        "authorized_official_first_name": "JACQUELYN",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE CYCLE",
        "authorized_official_telephone_number": "907-357-9590"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Resound ENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 9, 2024; 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.