Provider Type Icon

FAIRBANKS CANCER CARE PHYSICIANS NPI 1386759470


NPI Information

NPI: 1386759470
Provider Name: FAIRBANKS CANCER CARE PHYSICIANS
Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

CLIA Number: 02D2190940

Address:
1640 COWLES ST
SUITE 1
FAIRBANKS, AK
ZIP 99701
Phone: (907) 452-4768
Get Directions

FAIRBANKS CANCER CARE PHYSICIANS is a hematology and oncology internal medicine in Fairbanks, AK. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. FAIRBANKS CANCER CARE PHYSICIANS NPI is 1386759470. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1640 COWLES ST
SUITE 1
FAIRBANKS, AK
ZIP 99701-925
Phone: (907) 452-4768
Fax: (907) 452-1009

The provider's authorized official is Jacqueline Cox .
The authorized official title is Co-owner and has the following contact phone number (907) 452-4768.

The CLIA number assigned to this NPI record is 02D2190940 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/20/2006 and was last updated on 3/26/2013.


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
1207RH0003XInternal MedicineHematology & Oncology926150ALASKAYes

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
1R56962MEDICARE UPINALASKA
2K160113MEDICARE ID-TYPE UNSPECIFIEDALASKAINDIVIDUAL NUMBER
3MD14421MEDICAIDALASKA
4MDG543MEDICAIDALASKA
5C97029MEDICARE UPINALASKA
6K160116MEDICARE ID-TYPE UNSPECIFIEDALASKAINDIVIDUAL NUMBER
7MD6153MEDICAIDALASKA
8MD69431MEDICAIDALASKA
9K162482MEDICARE PINALASKA
10K162483MEDICARE PINALASKA
11MPG0088MEDICAIDALASKA
12NP7619MEDICAIDALASKA
13K160115MEDICARE ID-TYPE UNSPECIFIEDALASKAINDIVIDUAL NUMBER
14G63087MEDICARE UPIN
15K160112MEDICARE ID-TYPE UNSPECIFIEDALASKAGROUP NUMBER
16K162481MEDICARE PINALASKA
17K160114MEDICARE ID-TYPE UNSPECIFIEDALASKAINDIVIDUAL NUMBER
18K162480MEDICARE PINALASKA
19G80242MEDICARE UPIN
20K162479MEDICARE 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: 11/14/2023

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.