Organization Active NPI

Allergy Asthma and Immunology Center of Alaska LLC

  • Allergy & Immunology Physician
  • Anchorage, AK
National Provider Identifier
1942382874
Registry record updated Aug 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
Legal business name
ALLERGY ASTHMA AND IMMUNOLOGY CENTER OF ALASKA LLC
Practice address
3841 Piper St
Suite T4-054
Anchorage, AK 99508
Phone
(907) 562-6228
Fax
(907) 562-6868
NPI assigned
Oct 19, 2006
Last updated
Aug 2, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2018

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

Authorized official

Name
Eileen M Demain
Title
Business Manager
Phone
(907) 562-6228

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X Primary

Addresses

Primary practice location

3841 Piper St
Suite T4-054
Anchorage, AK 99508

Mailing address

3841 Piper St
Suite T4-054
Anchorage, AK 99508-4673
Phone (907) 562-6228

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040402000602 AK Part B Supplier - Clinic/Group Practice 6507858081 Receives reassigned benefits from 10 practitioners
Practice locations: Wasilla, AK

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
02D2245245Allergy Asthma and Immunology Center of Alaska, LL3841 Piper St, Ste T4-054, Anchorage, AK 99508Certificate of waiverDec 8, 2027

National Provider Directory

National Provider Directory

Locations

2741 Debarr Rd
Ste C405
Anchorage, AK 99508
Phone (907) 279-3155

3841 Piper St
Ste T4-054
Anchorage, AK 99508

3841 Piper St
Ste T4054
Anchorage, AK 99508
Phone (907) 562-6228

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533168000000",
    "number": "1942382874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3841 PIPER ST",
            "address_2": "SUITE T4-054",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084673",
            "telephone_number": "907-562-6228",
            "fax_number": "907-562-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3841 PIPER ST",
            "address_2": "SUITE T4-054",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99508",
            "telephone_number": "907-562-6228",
            "fax_number": "907-562-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY ASTHMA AND IMMUNOLOGY CENTER OF ALASKA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2018-08-02",
        "status": "A",
        "authorized_official_last_name": "DEMAIN",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "907-562-6228"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.