Active NPI
Stewart M Kerr, MD
- Orthopaedic Surgery of the Spine Physician
- Fairbanks, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- License
- 124739
- Practice address
- 1919 Lathrop St
Fairbanks, AK 99701-5937 - Phone
- (907) 459-3500
- NPI assigned
- May 4, 2006
- Last updated
- Aug 10, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 124739 | AK | |
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | MD00048415 | WA | |
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | 124739 | AK | Primary |
| Orthopaedic Trauma Physician | 207XX0801X | MD00048415 | WA | |
| Orthopaedic Trauma Physician | 207XX0801X | 124739 | AK |
Addresses
Primary practice location
1919 Lathrop St
Fairbanks, AK 99701-5937
Mailing address
PO Box 73720
Fairbanks, AK 99707-3720
Phone (907) 459-3500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679991 | Medicaid | AK | |
| 2014621 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, AK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Uniformed Services Uhs Fe Hebert School of Med, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1919 Lathrop St
Fairbanks, AK 99701-5937
Phone (907) 459-3500
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Knee replacement | 1-10 |
| Spinal fusion | 19 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 1-10 |
| Laminectomy or laminotomy (partial removal of spine bones) | 18 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 124739 | AK | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proliance Surgeons Inc P S | Orthopaedic Surgery | Current | Accepting new patients |
| Tanana Valley Clinic LLC | Current | Accepting new patients | |
| Proliance Surgeons Inc P S | Orthopaedic Surgery | Current | Accepting new patients |
| Anchorage Fracture and Orthopaedic Clinic, PC | Orthopaedic Surgery | Current | Accepting new patients |
| Medical Network of Alaska, LLC | Current | Accepting new patients | |
| Medical Network of Alaska, LLC | Current | Accepting new patients | |
| Medical Network of Alaska, LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Proliance Surgeons Inc., P.S. | Current | Accepting new patients | |
| Anchorage Fracture and Orthopaedic Clinic, PC | Current | Accepting new patients | |
| Tanana Valley Clinic LLC | Current | Accepting new patients | |
| Medical Network of Alaska, LLC | Current | Accepting new patients | |
| Benjamin Kennah PA-C | Past | Accepting new patients | |
| Central California Faculty Medical Group, Inc. | Orthopaedic Surgery | Past | Accepting new patients |
Locations
12350 Industry Way
Ste 110
Anchorage, AK 99515
Phone (907) 206-9114
4100 Lake Otis Pkwy
Ste 108
Anchorage, AK 99508
Phone (907) 339-2455
1001 Noble St
Fairbanks, AK 99701
Phone (907) 276-2806
1650 Cowles St
Fairbanks, AK 99701
Phone (907) 452-8181
1919 Lathrop St
Fairbanks, AK 99701
Phone (907) 459-3545
1919 Lathrop St
Ste 105
Fairbanks, AK 99701
Phone (907) 374-1089
3122 E Meridian Park Loop
Wasilla, AK 99654
Phone (907) 864-4625
3331 E Meridian Park Loop
Wasilla, AK 99654
Phone (907) 357-2332
1801 NW Market St
Ste 403
Seattle, WA 98107
Phone (206) 297-5100
2409 N 45th St
Seattle, WA 98103
Phone (206) 633-8100
5350 Tallman Ave NW
Ste 500
Seattle, WA 98107
Phone (206) 784-8833
805 Madison St
Ste 901
Seattle, WA 98104
Phone (206) 264-8100
Interoperability endpoints
- stewart.kerr.1@27294.direct.athenahealth.com
- stewart.kerr.p2@direct.proliance.nextgenshare.com
- stewart.kerr@direct.tananavalley.nextgenshare.com
Organizations & group practices 13
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Fairbanks, AK
- NPI 1922559558
-
dba Alaska Fracture and Orthopedic Clinic
- Orthopaedic Surgery Physician
- Anchorage, AK
- NPI 1285677054
-
dba Capstone Urgent Care
- Urgent Care Clinic/Center
- Wasilla, AK
- NPI 1538414834
-
dba Proliance Surgeons Orthopedic Specialists of Seattle
- Orthopaedic Surgery Physician
- Seattle, WA
- NPI 1023170313
-
- Durable Medical Equipment & Medical Supplies
- Wasilla, AK
- NPI 1831774298
-
dba MNA Laboratory
- Clinical Medical Laboratory
- Wasilla, AK
- NPI 1467167585
-
dba Alaska Fracture and Orthopedic Clinic
- Physical Therapist
- Palmer, AK
- NPI 1669173647
Orthopaedic Surgery
-
dba Resound ENT
- Otolaryngology Physician
- Anchorage, AK
- NPI 1922862986
-
- Multi-Specialty Clinic/Center
- Fairbanks, AK
- NPI 1073081485
-
dba Proliance Orthopedic Associates
- Orthopaedic Surgery Physician
- Renton, WA
- NPI 1235091463
-
dba Proliance Seattle Orthopedic Center MRI
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Seattle, WA
- NPI 1740229699
-
- Surgical Physician Assistant
- Anchorage, AK
- NPI 1134599061
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fairbanks, AK
- NPI 1720537178
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691625600000",
"number": "1932157732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 73720",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997073720",
"telephone_number": "907-459-3500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1919 LATHROP ST",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997015937",
"telephone_number": "907-459-3500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERR",
"first_name": "STEWART",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-04",
"last_updated": "2023-08-10",
"certification_date": "2023-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "AK",
"license": "124739",
"primary": false
},
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "WA",
"license": "MD00048415",
"primary": false
},
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "AK",
"license": "124739",
"primary": true
},
{
"code": "207XX0801X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Trauma",
"state": "WA",
"license": "MD00048415",
"primary": false
},
{
"code": "207XX0801X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Trauma",
"state": "AK",
"license": "124739",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1679991",
"state": "AK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2014621",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fairbanks, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.