Organization Active NPI

Peter D Marbarger MD Apc

Doing business as Peter D Marbarger MD

  • Surgery Physician
  • Anchorage, AK
National Provider Identifier
1932324605
Registry record updated Oct 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
AA1750 Issued in AK
Legal business name
PETER D MARBARGER MD APC
Doing business as
Peter D Marbarger MD
Practice address
2741 Debarr Rd
Suite C 402
Anchorage, AK 99508-2953
Phone
(907) 561-4363
NPI assigned
Apr 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2007

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

Authorized official

Name
Dr. Peter D Marbarger, M.D.
Title
Doctor of Medicine
Phone
(907) 561-4363

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X AA1750 AK Primary
Trauma Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0127X AA1750 AK
Vascular Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0129X AA1750 AK

Addresses

Primary practice location

2741 Debarr Rd
Suite C 402
Anchorage, AK 99508-2953

Mailing address

2741 Debarr Rd
Suite C 402
Anchorage, AK 99508-2953
Phone (907) 561-4363

Other identifiers 2

IdentifierTypeStateIssuer
MD1750MedicaidAK
AA1750OtherAKSTATE LICENSE

Other names 1

  • PETER D MARBARGER MD Doing business as

National Provider Directory

National Provider Directory

Locations

2741 Debarr Rd
Ste C402
Anchorage, AK 99508
Phone (907) 274-5864

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191974400000",
    "number": "1932324605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2741 DEBARR RD",
            "address_2": "SUITE C 402",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082953",
            "telephone_number": "907-561-4363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2741 DEBARR RD",
            "address_2": "SUITE C 402",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082953",
            "telephone_number": "907-561-4363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER D MARBARGER MD APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2007-10-10",
        "status": "A",
        "authorized_official_last_name": "MARBARGER",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DOCTOR OF MEDICINE",
        "authorized_official_telephone_number": "907-561-4363",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "AK",
            "license": "AA1750",
            "primary": true
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Trauma Surgery",
            "state": "AK",
            "license": "AA1750",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "AK",
            "license": "AA1750",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD1750",
            "state": "AK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "AA1750",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PETER D MARBARGER MD",
            "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 Oct 10, 2007; 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.