FULL SPECTRUM PEDIATRICS PC NPI 1639463953

NPI Information

  • NPI: 1639463953
  • Provider Name: FULL SPECTRUM PEDIATRICS, PC
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • CLIA Number: 02D2025663
  • Address: 2841 DEBARR RD
    BLDG A, SUITE 23
    ANCHORAGE, AK
    ZIP 99508
  • Phone: (907) 677-1864

Map and Directions

Get Directions

NPI Details

FULL SPECTRUM PEDIATRICS, PC is a clinic center in Anchorage, AK. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). FULL SPECTRUM PEDIATRICS, PC NPI is 1639463953. The provider is registered as an organization entity type.

The provider's business location address is:

2841 DEBARR RD
BLDG A, SUITE 23
ANCHORAGE, AK
ZIP 99508-958
Phone: (907) 677-1864
Fax: (907) 868-5167

The provider's authorized official is Stephen Scott Baker .
The authorized official title is President and has the following contact phone number (907) 677-1864.

The CLIA number assigned to this NPI record is 02D2025663 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/3/2011 and was last updated on 6/3/2011.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/Center4587ALASKAYes

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
13255MEDICAIDALASKA

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

NPI Synchronization or Removal

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.

Previous NPI
Next NPI