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FAIRBANKS FOOT & ANKLE INC. NPI 1659687945


NPI Information

NPI: 1659687945
Provider Name: FAIRBANKS FOOT & ANKLE INC.
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
1405 KELLUM ST.
STE 200
FAIRBANKS, AK
ZIP 99701
Phone: (907) 451-9202
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FAIRBANKS FOOT & ANKLE INC. is a podiatrist in Fairbanks, AK. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. FAIRBANKS FOOT & ANKLE INC. NPI is 1659687945. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1405 KELLUM ST.
STE 200
FAIRBANKS, AK
ZIP 99701
Phone: (907) 451-9202
Fax: (907) 452-6256

The provider's authorized official is Ralph Sylvan Dixon .
The authorized official title is Owner/president and has the following contact phone number (907) 451-9202.

The enumeration date for this NPI number is 8/24/2010 and was last updated on 8/24/2010.


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
1213ES0103XPodiatristFoot & Ankle Surgery2810ALASKANo
2213E00000XPodiatrist2810ALASKAYes

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
1000SGBKZMEDICARE UPINALASKA
2PD2810MEDICAIDALASKA

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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