Anchorage Pediatric Group

LBN: Anchorage Pediatric Group
Anchorage Pediatric Group is an health care organization with primary practice located at 3340 Providence Dr Ste 500, Anchorage AK 99508-4616. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Anchorage Pediatric Group can be contacted via phone (907) 562-2423, or through Ryan, Charles via phone (907) 562-2423.

Contact Information

Primary practice address
3340 Providence Dr Ste 500 Anchorage AK 99508-4616
Phone: (907) 562-2423
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ryan, Charles Doctor of Medicine (MD)
Phone: (907) 562-2423

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 1744 Alaska

Profile Details

NPI number 1538192513
LBN Legal business name Anchorage Pediatric Group
DBA Doing business as
Authorized official Ryan, Charles Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 10th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538192513 NPPES
Alaska MEDICAID MD3158
Alaska MEDICAID MD2694
Alaska MEDICAID MD1744
Alaska MEDICAID MD1116
Alaska MEDICAID MD3035

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