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MATT A. HEILALA DPM INC. NPI 1316046790


NPI Information

NPI: 1316046790
Provider Name: MATT A. HEILALA, DPM INC.

Doing Business As: ALASKA FOOT & ANKLE SPECIALISTS

Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
4100 LAKE OTIS PKWY
SUITE 312
ANCHORAGE, AK
ZIP 99508
Phone: (907) 569-3668
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MATT A. HEILALA, DPM INC. is a foot and ankle surgery podiatrist in Anchorage, AK. MATT A. HEILALA, DPM INC. NPI is 1316046790. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Alaska Foot & Ankle Specialists.

The provider's business location address is:

4100 LAKE OTIS PKWY
SUITE 312
ANCHORAGE, AK
ZIP 99508-222
Phone: (907) 569-3668
Fax: (907) 569-3669

The provider's authorized official is Matt A. Heilala .
The authorized official title is President and has the following contact phone number (907) 569-3668.

The enumeration date for this NPI number is 9/21/2006 and was last updated on 8/22/2020.


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 Surgery3497ALASKANo
2213ES0103XPodiatristFoot & Ankle Surgery4087ALASKAYes

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
1PD3497MEDICAIDALASKA
2PD5195MEDICAIDALASKA

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: 11/14/2023

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