FAIRBANKS SURGERY LLC NPI 1790017291

NPI Information

  • NPI: 1790017291
  • Provider Name: FAIRBANKS SURGERY, LLC
  • Classification: Surgery - 208600000X
  • Entity Type: Organization
  • Address: 1919 LATHROP ST STE 204
    FAIRBANKS, AK
    ZIP 99701
  • Phone: (907) 452-8151

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NPI Details

FAIRBANKS SURGERY, LLC is a surgery in Fairbanks, AK. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. FAIRBANKS SURGERY, LLC NPI is 1790017291. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1919 LATHROP ST STE 204
FAIRBANKS, AK
ZIP 99701-942
Phone: (907) 452-8151

The provider's authorized official is William H Montano .
The authorized official title is Officer and has the following contact phone number (907) 452-8151.

The enumeration date for this NPI number is 2/8/2010 and was last updated on 12/17/2010.

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
12086S0129XSurgeryVascular SurgeryMD1335ALASKANo
2208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)MD1335ALASKANo
3208600000XSurgeryMD1335ALASKAYes

What is NPI?

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This page was last updated on: 11/21/2025

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