Gina Y Escobar, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD4347 Issued in AK

Practice address

1875 University Ave S
#1
Fairbanks, AK 99709-4906

Phone

(907) 456-6334

Fax

(907) 456-6336

NPI assigned

Dec 5, 2006

Last updated

Jun 8, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, AK2 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

Internal Medicine

Education

University of Arizona College of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Solstice Medicine and Wellness LLCGroup PAC ID 8729387741, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Fairbanks Memorial Hospital Hospital, Fairbanks, AK, CCN 020012

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Solstice Medicine & Wellness, LLC

  • Medical Specialty Clinic/Center
  • Fairbanks, AK
  • NPI 1710347349
  Medicare reassignment Care Compare group NPD Authorized official
• Tanana Chiefs Conference

  • Multi-Specialty Clinic/Center
  • Fairbanks, AK
  • NPI 1821201278

  TX

  Medicare reassignment NPD
• Tanana Chiefs Conference

  • Ambulatory Surgical Clinic/Center
  • Fairbanks, AK
  • NPI 1871332387
  NPD
• Northern Hospital Associates LLC

  • Hospitalist Physician
  • Fairbanks, AK
  • NPI 1538204474
  NPD (past)
• Rise Diagnostics, LLC

  • Clinical Electrophysiology Physical Therapist
  • Wasilla, AK
  • NPI 1821445636
  NPD (past)

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

• Fairbanks Memorial Hospital, LLC

  • General Acute Care Hospital
  • Fairbanks, AK
  • NPI 1720537178
  Care Compare affiliation

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465344000000",
    "number": "1962560268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3875 GEIST RD",
            "address_2": "SUITE E #154",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997093564",
            "telephone_number": "907-456-6334",
            "fax_number": "907-456-6336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 UNIVERSITY AVE S",
            "address_2": "#1",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997094906",
            "telephone_number": "907-456-6334",
            "fax_number": "907-456-6336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCOBAR",
        "first_name": "GINA",
        "middle_name": "Y",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2016-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AK",
            "license": "MD4347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Equinox, Inc (Equinox Physical Therapy)
• Magdalena Christina Eras-Sawyer
• Dawn Erbeck, PHARMD
• Sasha Elizabeth Ericksen, M.D.
• Daesha N Erickson, D.D.S.
• Cheyanne Esmailka
• Molly Esmailka, CHA-T
• Rod Espejo
• Chelsi Espinosa
• Michael Scott Estabrooks

• Internal Medicine Physician in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Internal Medicine Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2016; 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.