Organization Active NPI

S Lynn Hornbein

  • Primary Care Clinic/Center
  • Anchorage, AK
National Provider Identifier
1992992457
Registry record updated Nov 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
2515 Issued in AK
Legal business name
S LYNN HORNBEIN
Practice address
2741 Debarr Rd Ste C308
Anchorage, AK 99508-2972
Phone
(907) 272-3366
NPI assigned
Sep 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2007

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

Authorized official

Name
Sara Lynn Hornbein, M.D.
Title
Owner
Phone
(907) 272-3366

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 2515 AK Primary

Addresses

Primary practice location

2741 Debarr Rd Ste C308
Anchorage, AK 99508-2972

Mailing address

440A W Evergreen Ave
Palmer, AK 99645-6955
Phone (907) 746-3366

Other identifiers 1

IdentifierTypeStateIssuer
MD2515MedicaidAK

Other names 1

  • Summit Family Practice Doing business as

National Provider Directory

National Provider Directory
Tax ID family
S Lynn Hornbein3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

440 W Evergreen Ave
Ste A
Palmer, AK 99645
Phone (907) 746-3366

NPI Registry JSON

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

{
    "created_epoch": "1190937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193875200000",
    "number": "1992992457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440A W EVERGREEN AVE",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996456955",
            "telephone_number": "907-746-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2741 DEBARR RD STE C308",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082972",
            "telephone_number": "907-272-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S LYNN HORNBEIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-28",
        "last_updated": "2007-11-01",
        "status": "A",
        "authorized_official_last_name": "HORNBEIN",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-272-3366",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AK",
            "license": "2515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD2515",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summit Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 1, 2007; 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.