Alaska Orthopedics

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1356 Issued in AK

Legal business name

ALASKA ORTHOPEDICS

Practice address

4100 Lake Otis Pkwy
#320
Anchorage, AK 99508-5229

Phone

(907) 562-4142

NPI assigned

Aug 28, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Mark Polito

Title

Billing Manager

Phone

(907) 562-4142

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1377648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377648000000",
    "number": "1992139737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 LAKE OTIS PKWY",
            "address_2": "#320",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 LAKE OTIS PKWY",
            "address_2": "#320",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085229",
            "telephone_number": "907-562-4142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALASKA ORTHOPEDICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-28",
        "last_updated": "2013-08-28",
        "status": "A",
        "authorized_official_last_name": "POLITO",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "907-562-4142",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "AK",
            "license": "1333",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "1356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alaska Olive Care II, LLC
• Alaska Oncology and Hematology LLC
• Alaska Optical Service,Inc
• Alaska Orthopaedic Specialists, Inc
• Alaska Orthopedic Specialists, LLC
• Alaska Orthopedics, Inc.
• Alaska OT Services, LLC
• Alaska Pain and Injury Clinic, Inc
• Alaska Pain to Wellness Centre LLC
• Alaska Patients First LLC

• Family Nurse Practitioner in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Family Nurse Practitioner in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.