FAIRBANKS UROLOGY NPI 1043727878

NPI Information

  • NPI: 1043727878
  • Provider Name: FAIRBANKS UROLOGY
  • Classification: Urology - 208800000X
  • Entity Type: Organization
  • Address: 1211 CUSHMAN ST
    FAIRBANKS, AK
    ZIP 99701
  • Phone: (617) 686-6809

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NPI Details

FAIRBANKS UROLOGY is an urology in Fairbanks, AK. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. FAIRBANKS UROLOGY NPI is 1043727878. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1211 CUSHMAN ST
FAIRBANKS, AK
ZIP 99701-680
Phone: (617) 686-6809

The provider's authorized official is Tony Nimeh .
The authorized official title is Physician and has the following contact phone number (617) 686-6809.

The enumeration date for this NPI number is 1/2/2018 and was last updated on 1/27/2025.

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
1208800000XUrologyYes

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: 11/21/2025

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