Active NPI
Marc Jack Dumas, MD, FACEP, FAAEM
- Emergency Medicine Physician
- Fairbanks, AK
National Provider Identifier
1972644664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 2704
- Practice address
- 5859 Aerofuel PL
Fairbanks, AK 99709-4486 - Phone
- (907) 457-1711
- Fax
- (907) 457-1709
- NPI assigned
- Feb 8, 2007
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 2704 | AK | Primary |
Addresses
Primary practice location
5859 Aerofuel PL
Fairbanks, AK 99709-4486
Mailing address
1166 Skyline Dr
Fairbanks, AK 99712-1309
Phone (907) 457-1458
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2704 | AK | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ahtna T' Aene Nene' | Current | Accepting new patients | |
| Cary S Keller MD PC | Past | Accepting new patients | |
| Emergency Medicine Associates PC | Past | Accepting new patients | |
| Guardian Flight Inc | Past | Accepting new patients |
Interoperability endpoints
- marc.dumas.1@21088.direct.athenahealth.com
- mjdumas@direct.crnative.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 and National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Fairbanks, AK
- NPI 1982805511
-
- Emergency Medical Services (Emergency Medicine) Physician
- Fairbanks, AK
- NPI 1275529109
-
- Air Ambulance
- Rock Springs, WY
- NPI 1649564931
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1972644664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1166 SKYLINE DR",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997121309",
"telephone_number": "907-457-1458",
"fax_number": "907-457-4243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5859 AEROFUEL PL",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997094486",
"telephone_number": "907-457-1711",
"fax_number": "907-457-1709"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUMAS",
"first_name": "MARC",
"middle_name": "JACK",
"name_prefix": "Dr.",
"credential": "MD, FACEP, FAAEM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-08",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AK",
"license": "2704",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairbanks, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.