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ALASKA BONE & JOINT INSTITUTE PC NPI 1720080328


NPI Information

NPI: 1720080328
Provider Name: ALASKA BONE & JOINT INSTITUTE PC
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Address:
2751 DEBARR RD
SUITE B285
ANCHORAGE, AK
ZIP 99508
Phone: (907) 334-6788
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ALASKA BONE & JOINT INSTITUTE PC is an orthopaedic surgery in Anchorage, AK. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. ALASKA BONE & JOINT INSTITUTE PC NPI is 1720080328. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2751 DEBARR RD
SUITE B285
ANCHORAGE, AK
ZIP 99508-953
Phone: (907) 334-6788
Fax: (907) 334-6466

The provider's authorized official is Timothy Kavanaugh .
The authorized official title is President and has the following contact phone number (907) 334-6788.

The enumeration date for this NPI number is 8/12/2005 and was last updated on 10/15/2008.


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
1207X00000XOrthopaedic Surgery309662ALASKAYes

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
1160177MEDICARE ID-TYPE UNSPECIFIEDALASKANORIDIAN MEDICARE
2H45167MEDICARE UPINALASKA
3607725300OTHERALASKAFEDERAL WORK COMP/OWCP

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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