TONJA LYNN HOTRUM PA-C NPI 1689740508

NPI Information

NPI: 1689740508
Provider Name: TONJA LYNN HOTRUM, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
1389 HUFFMAN PARK DR UNIT 210
ANCHORAGE, AK
ZIP 99515
Phone: (907) 250-0571
Get Directions

Tonja Lynn Hotrum, PA-C is a medical physician assistant in Anchorage, AK. Tonja Lynn Hotrum, PA-C NPI is 1689740508. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1389 HUFFMAN PARK DR UNIT 210
ANCHORAGE, AK
ZIP 99515-534
Phone: (907) 250-0571
Fax: (907) 600-5083

The NPI 1689740508 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/24/2006 and was last updated on 3/23/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	1816	ALASKA	No
2	363AM0700X	Physician Assistant	Medical	752	ALASKA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	PA 01254	OTHER	TEXAS	TEXAS PA LICENSE
2	MD2379	MEDICAID	ALASKA

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

NPI Synchronization or Removal

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