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DR. MYRON FRIBUSH M.D. NPI 1184702102


NPI Profile

NPI: 1184702102
Provider Name: DR. MYRON FRIBUSH, M.D.
Classification:Family Medicine - 207QG0300X
Entity Type: Individual

Specialization: Geriatric Medicine

PECOS Registration: Yes

Address:
209 MOLLER AVE
MOUNTAINSIDE FAMILY HEALTHCARE
SITKA, AK
ZIP 99835
Get Directions

Phone: (907) 747-1722

DR. Myron Fribush, M.D. is a geriatric medicine family medicine in Sitka, AK. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. DR. Myron Fribush, M.D. NPI is 1184702102. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

209 MOLLER AVE
MOUNTAINSIDE FAMILY HEALTHCARE
SITKA, AK
ZIP 99835-142
Phone: (907) 747-1722
Fax: (907) 747-1755

The NPI 1184702102 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 11/1/2006 and was last updated on 8/15/2011.


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
1207QG0300XFamily MedicineGeriatric Medicine5255ALASKAYes

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
1B81961MEDICARE UPIN
28EA829MEDICARE PINALASKA
38EA827MEDICARE PINALASKA
4MD4646MEDICAIDALASKA
58EA828MEDICARE PINALASKA
68EA831MEDICARE PINALASKA
78EA830MEDICARE PINALASKA

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: 3/9/2021

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.