Active NPI
Robert Wendall Arnold, M.D.
- Ophthalmology Physician
- Anchorage, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- AA2439
- Practice address
- 542 W 2ND Ave
Anchorage, AK 99501-2208 - Phone
- (907) 276-1617
- Fax
- (907) 264-2687
- NPI assigned
- Aug 30, 2005
- Last updated
- Oct 10, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | AA2439 | AK | Primary |
Addresses
Primary practice location
542 W 2ND Ave
Anchorage, AK 99501-2208
Mailing address
3500 La Touche St Ste 280
Anchorage, AK 99508-4261
Phone (907) 561-1917
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD1250 | Medicaid | AK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Yale University School of Medicine, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3500 Latouche St
Suite 280
Anchorage, AK 99508-4261
Phone (907) 561-1917
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AA2439 | AK | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ophthalmic Associates a Professional Corporation | Ophthalmology | Current | Accepting new patients |
| Alaska Native Tribal Health Consortium | Current | Accepting new patients | |
| Alaska Childrens Eye and Strabismus LLC | Ophthalmology | Current | Accepting new patients |
| Marvin John Grendahl MD a Professional Corp. | Ophthalmology | Past | Accepting new patients |
Locations
3500 Latouche St
Ste 280
Anchorage, AK 99508
Phone (907) 561-1917
542 W 2nd Ave
Anchorage, AK 99501
Phone (907) 276-1617
Interoperability endpoints
- https://app.meldrx.com/api/fhir/Freedom_ACES
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- rarnold@aces.intellechartdirect.net
- rwarnold@direct.anthc.org
Organizations & group practices 4
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.
-
- Ophthalmology Physician
- Anchorage, AK
- NPI 1851721146
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- Ophthalmology Physician
- Anchorage, AK
- NPI 1255325692
-
- General Acute Care Hospital
- Anchorage, AK
- NPI 1437189339
-
- Ophthalmology Physician
- Anchorage, AK
- NPI 1063694750
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507593600000",
"number": "1942293428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 LA TOUCHE ST STE 280",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995084261",
"telephone_number": "907-561-1917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "542 W 2ND AVE",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995012208",
"telephone_number": "907-276-1617",
"fax_number": "907-264-2687"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARNOLD",
"first_name": "ROBERT",
"middle_name": "WENDALL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-30",
"last_updated": "2017-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "AK",
"license": "AA2439",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MD1250",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}
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, 2017; 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.