Jack Donovan Sedwick II, M.D.

Primary specialty

Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X

License

5240 Issued in AK

Practice address

4001 Dale St
#201
Anchorage, AK 99508-5445

Phone

(907) 561-1185

Fax

(907) 561-0327

NPI assigned

Feb 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AK, TX2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Otolaryngology

Education

University of Utah School of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Ear Nose and Throat Specialists Alaska, IncGroup PAC ID 6204848294, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Providence Alaska Medical Center Hospital, Anchorage, AK, CCN 020001
• Providence Kodiak Island Medical Ctr Hospital, Kodiak, AK, CCN 021306

Merit-based Incentive Payment System (MIPS)

Final score

27.96 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

93.19

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ear, Nose and Throat Specialists Alaska, Inc.

  • Otolaryngology/Facial Plastic Surgery Physician
  • Anchorage, AK
  • NPI 1972552891
  Medicare reassignment Care Compare group NPD
• Alaska Native Tribal Health Consortium

  • General Acute Care Hospital
  • Anchorage, AK
  • NPI 1437189339

  TX

  Medicare reassignment NPD
• City of Valdez

  • Critical Access Hospital Clinic/Center
  • Valdez, AK
  • NPI 1427424282
  Medicare reassignment NPD
• Anchorage Audiology Clinic LLC

  • Audiologist
  • Anchorage, AK
  • NPI 1396250684
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Providence Health & Services Washington

  • Critical Access Hospital
  • Kodiak, AK
  • NPI 1013905660
  Care Compare affiliation
• Providence Health & Services Washington

  • General Acute Care Hospital
  • Anchorage, AK
  • NPI 1053363119
  Care Compare affiliation

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201564800000",
    "number": "1942272059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 201875",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995201875",
            "telephone_number": "907-561-1185",
            "fax_number": "907-561-0327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 DALE ST",
            "address_2": "#201",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085445",
            "telephone_number": "907-561-1185",
            "fax_number": "907-561-0327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEDWICK",
        "first_name": "JACK",
        "middle_name": "DONOVAN",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2008-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "AK",
            "license": "5240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD2745",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Second Chance Suport Services
• Second Chance Support Services LLC
• Secure Care Transport LLC
• Brittany A Sedlacek, PA-C
• Nora Allison Sedlock
• William Rutan Sedwick, DD.S.
• Sheri Seeds
• Seeganna Psychiatric Services
• Anthony Seeganna, CCM
• Carolyn Mills Seeganna, RN, ANP

• Facial Plastic Surgery Physician in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Facial Plastic Surgery Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; 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.

Verify at the official NPI Registry.