Exexias Metrita - Anchorage LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

EXEXIAS METRITA - ANCHORAGE LLC

Practice address

3074 Mountain View Dr Ste 193
Anchorage, AK 99501-3144

Phone

(817) 296-4560

Fax

(817) 796-1678

NPI assigned

Oct 24, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Michael Sutherland Cole

Title

Cfo

Phone

(817) 296-4560

Specialties & licenses 1

Addresses

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Wade Erickson, MD

  • Family Medicine Physician
  • Wasilla, AK
  • NPI 1245278183
  NPD (past)
• Thomas Ligus, MD

  • Internal Medicine Physician
  • Eagle River, AK
  • NPI 1649340126
  NPD (past)
• Robin L. Ninefeldt, M.D.

  • Family Medicine Physician
  • Anchorage, AK
  • NPI 1659691590
  NPD (past)
• Carol Maria Van de Rostyne, ANP

  • Family Nurse Practitioner
  • Anchorage, AK
  • NPI 1336321439
  NPD (past)
• Gerald Edward Manning II, P.A.C.

  • Medical Physician Assistant
  • Wasilla, AL
  • NPI 1083701858
  NPD (past)

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

{
    "created_epoch": "1540339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540339200000",
    "number": "1932676343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 S KIMBALL AVE STE 100",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760929019",
            "telephone_number": "817-296-4560",
            "fax_number": "817-796-1678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3074 MOUNTAIN VIEW DR STE 193",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995013144",
            "telephone_number": "817-296-4560",
            "fax_number": "817-796-1678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXEXIAS METRITA - ANCHORAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-24",
        "last_updated": "2018-10-24",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "SUTHERLAND",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "817-296-4560",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brook Evingson, RDH
• Excel Alaska, Inc.
• Excellence in Health Chiropractic and Rehabilitation Clinic PC
• Excellent Therapy LLC
• Executive Care LLC
• Exhale Massage and Bodywork LLC
• Exploration Psychiatry LLC
• Explore Pediatric Therapy
• Express Care Ak LLC
• Susan Deann Eychaner, RT

• Ambulatory Surgical Clinic/Center in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Ambulatory Surgical Clinic/Center in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2018; 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.