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ALASKA NEUROLOGY CENTER LLC NPI 1235310954


NPI Information

NPI: 1235310954
Provider Name: ALASKA NEUROLOGY CENTER LLC

Former Legal Business Name: FRANKLIN ELLENSON MD LLC

Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

CLIA Number: 02D2063043

Address:
1100 E DIMOND BLVD
ANCHORAGE, AK
ZIP 99515
Phone: (907) 565-6000
Get Directions

ALASKA NEUROLOGY CENTER LLC is a neurology psychiatry neurology in Anchorage, AK. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. ALASKA NEUROLOGY CENTER LLC NPI is 1235310954. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Franklin Ellenson Md Llc.

The provider's business location address is:

1100 E DIMOND BLVD
ANCHORAGE, AK
ZIP 99515-010
Phone: (907) 565-6000
Fax: (907) 565-6001

The provider's authorized official is Amberly Hobbs .
The authorized official title is Practice Manager and has the following contact phone number (907) 565-6000.

The CLIA number assigned to this NPI record is 02D2063043 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 11/21/2007 and was last updated on 9/13/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207LP2900XAnesthesiologyPain MedicineNo
22084P0805XPsychiatry & NeurologyGeriatric PsychiatryNo
32084S0012XPsychiatry & NeurologySleep MedicineNo
42084N0400XPsychiatry & NeurologyNeurologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1MDG991MEDICAIDALASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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