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SAMUEL A MCCONKEY III MD PC NPI 1578601340


NPI Information

NPI: 1578601340
Provider Name: SAMUEL A MCCONKEY III MD PC
Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
1521 STACIA ST
FAIRBANKS, AK
ZIP 99701
Phone: (907) 456-4822
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SAMUEL A MCCONKEY III MD PC is an ophthalmology in Fairbanks, AK. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. SAMUEL A MCCONKEY III MD PC NPI is 1578601340. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1521 STACIA ST
FAIRBANKS, AK
ZIP 99701-135
Phone: (907) 456-4822

The provider's authorized official is Samuel A Mcconkey .
The authorized official title is Owner and has the following contact phone number (907) 456-7767.

The enumeration date for this NPI number is 2/2/2007 and was last updated on 12/9/2010.


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
1207W00000XOphthalmology849ALASKAYes

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
1C97169MEDICARE UPINALASKA
2C97169MEDICARE UPINARIZONA
3152587MEDICARE ID-TYPE UNSPECIFIEDALASKA
472858MEDICARE ID-TYPE UNSPECIFIEDARIZONA
5MD0849MEDICAIDALASKA

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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