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ORTHOPEDIC & SPORTSMEDICINE CLINIC OF FAIRBANKS LLC NPI 1689304982


NPI Information

NPI: 1689304982
Provider Name: ORTHOPEDIC & SPORTSMEDICINE CLINIC OF FAIRBANKS LLC
Classification: Orthopaedic Surgery - 207XX0005X
Entity Type: Organization

Specialization: Sports Medicine

Address:
2310 PEGER RD STE 105
FAIRBANKS, AK
ZIP 99709
Phone: (907) 479-2663
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ORTHOPEDIC & SPORTSMEDICINE CLINIC OF FAIRBANKS LLC is a sports medicine orthopaedic surgery in Fairbanks, AK. The provider is an orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. ORTHOPEDIC & SPORTSMEDICINE CLINIC OF FAIRBANKS LLC NPI is 1689304982. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2310 PEGER RD STE 105
FAIRBANKS, AK
ZIP 99709-305
Phone: (907) 479-2663
Fax: (907) 479-2691

The provider's authorized official is Neal Everson .
The authorized official title is Member Manager and has the following contact phone number (907) 479-2663.

The enumeration date for this NPI number is 6/10/2022 and was last updated on 6/10/2022.


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
1207XX0005XOrthopaedic SurgerySports MedicineYes

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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