NPIMap

Organization Active NPI

Ear, Nose and Throat Specialists Alaska, Inc.

  • Otolaryngology/Facial Plastic Surgery Physician
  • Anchorage, AK
National Provider Identifier
1972552891
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
Legal business name
EAR, NOSE AND THROAT SPECIALISTS ALASKA, INC.
Practice address
3831 Piper Street Suite#S433
Anchorage, AK 99508
Phone
(907) 563-3515
Fax
(907) 563-3541
NPI assigned
May 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Todd Parrish, MDNPI 1427068907
Title
Secretary / Treasurer
Phone
(907) 563-3515

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207YX0905X Primary

Addresses

Primary practice location

3831 Piper Street Suite#S433
Anchorage, AK 99508

Mailing address

3831 Piper Street Suite#S433
Anchorage, AK 99508
Phone (907) 563-3515

Other names 1

  • Alyeska Center for Facial Plastic Surgery Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060609000194 AK Part B Supplier - Clinic/Group Practice 6204848294 Receives reassigned benefits from 17 practitioners
Practice locations: Anchorage, AK

National Provider Directory

National Provider Directory

Locations

3831 Piper St
Ste S433
Anchorage, AK 99508
Phone (907) 561-1421

3831 Piper St
#433
Anchorage, AK 99508
Phone (907) 563-3515

12641 Old Glenn Hwy
Ste 201
Eagle River, AK 99577
Phone (907) 726-0368

4201 Bartlett St
Ste 201
Homer, AK 99603
Phone (907) 235-0310

215 Fidalgo Ave
Ste 103
Kenai, AK 99611

Practitioners & affiliated clinicians

Practitioners 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1972552891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3831 PIPER STREET SUITE#S433",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99508",
            "telephone_number": "907-563-3515",
            "fax_number": "907-563-3541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3831 PIPER STREET SUITE#S433",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99508",
            "telephone_number": "907-563-3515",
            "fax_number": "907-563-3541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAR, NOSE AND THROAT SPECIALISTS ALASKA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "PARRISH",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "SECRETARY / TREASURER",
        "authorized_official_telephone_number": "907-563-3515",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alyeska Center for Facial Plastic Surgery",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.