AK PROSTHETICS & ORTHOTICS (NPI# 1326506882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326506882 |
| Entity Type | Organization |
| Organization Name | AK PROSTHETICS & ORTHOTICS |
| Other Organization Name | AK PROSTHETICS & ORTHOTICS |
| Practice Address |
3517 Industrial Ave Fairbanks AK 99701-7737 |
| Practice Telephone | 9074559255 |
| Practice Fax Number | 9074521789 |
| Mailing Telephone | 9074559255 |
| Mailing Fax Number | 9074521789 |
| Enumeration Date | 2019-03-04 |
| Last Update Date | 2020-10-02 |
| Authorized Official Name | RAYMOND F GILLIGAN JR. (OWNER/FABRICATOR) |
| Authorized Official Telephone | 9074559255 |
| Authorized Official Credential | PO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 224P00000X | Prosthetist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers | ||
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | BUSINESS LICENCE | 1110253 | 01 |
| Other Name | Type Code |
|---|---|
| AK prosthetics & orthotics | Doing Business As Name - Organization |
| RAYMOND GILLIGAN JR | Other Name - Individual/Organization |
| Street Address |
3517 INDUSTRIAL AVE |
| City | FAIRBANKS |
| State | AK |
| Zip Code | 99701-7737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699243717 | Emilie H Woodward | Specialist | 3517 Industrial Ave, Fairbanks, AK 99701-7377 | 2018-11-06 |
| 1497196265 | Raymond Francis Gilligan Jr. | Orthotist | 3517 Industrial Ave, Fairbanks, AK 99701-7377 | 2013-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659984987 | Resource Center for Parents & Children, Inc. | Social Worker | 726 26th Ave, Suite #2, Fairbanks, AK 99701 | 2020-08-26 |
| 1134738982 | Aaron Paul Sarauer | Behavior Technician | 3121 Lathrop St., Fairbanks, AK 99701 | 2020-07-28 |
| 1437715505 | Fabienne Rose Marie Siddall | Case Manager/Care Coordinator | 122 1st Avenue, Fairbanks, AK 99701 | 2019-05-14 |
| 1902461957 | Jacqueline Marie Rahm | Counselor | Family Centered Services of Alaska - Rtc, 3101 Lathrop St., Fairbanks, AK 99701 | 2019-05-06 |
| 1821588989 | Corrie Wilson | Nurse Practitioner | 1025 Barnette Street, Fairbanks, AK 99701 | 2018-05-15 |
| 1922519305 | Sarishma Sangeeta Lal | Registered Nurse | 815 2nd Ave Ste 122, Fairbanks, AK 99701 | 2017-10-12 |
| 1245690569 | Christine L Simko | Naturopath | 1275 Sadler Way, Ste 100 Rm 147, Fairbanks, AK 99701 | 2016-02-29 |
| 1932581600 | Jennifer Davis | Registered Nurse | 1025 West Barnette St., Fairbanks, AK 99701 | 2015-06-18 |
| 1700272705 | John D. Zipperer Jr Md, LLC | Clinic/Center | 751 Old Richardson Hwy., Fairbanks, AK 99701 | 2015-04-07 |
| 1578957460 | Mara Justine Becker | Physician Assistant | 1717 W. Cowles St, Fairbanks, AK- ALASKA 99701 | 2015-03-27 |
| Find all providers in zip 99701 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942551429 | Munger Prosthetics and Orthotics, Inc. | Prosthetic/Orthotic Supplier | 3455 Rewak Dr Ste 101, Fairbanks, AK 99709-5024 | 2012-09-25 |
| 1295930600 | Farthest North Prosthetics and Orthotics | Prosthetic/Orthotic Supplier | 3520 Industrial Ave, Fairbanks, AK 99701-7376 | 2007-06-15 |
| 1689920142 | Alchemy Orthotics and Prosthetics | Prosthetic/Orthotic Supplier | 1405 Kellum St, Suite 201, Fairbanks, AK 99701-4189 | 2012-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376711549 | Southeast Alaska Prosthetics and Orthotics LLC | Prosthetic/Orthotic Supplier | 5193 Borch St, Ketchikan, AK 99901-9036 | 2008-02-11 |
| 1235144619 | Munger Prosthetics and Orthotics, Inc | Prosthetic/Orthotic Supplier | 5701 Lake Otis Pkwy Ste 400, Anchorage, AK 99507-1778 | 2006-07-31 |
| 1487652335 | Alaska Orthopedics, Inc. | Prosthetic/Orthotic Supplier | 2028 E Northern Lights Blvd, Anchorage, AK 99508-4101 | 2005-07-13 |
| 1134461957 | Northern Orthopedics Inc | Prosthetic/Orthotic Supplier | 44604 Sterling Hwy, Unit A, Soldotna, AK 99669-7937 | 2013-03-19 |
| 1821346065 | Munger Prosthetics and Orthotics, Inc. | Prosthetic/Orthotic Supplier | 1700 E Bogard Rd, #104 Building B, Wasilla, AK 99654-6563 | 2012-08-20 |
| 1841464997 | Dr's Order,inc. | Prosthetic/Orthotic Supplier | 515 W Fireweed Ln, Anchorage, AK 99503-1927 | 2008-04-19 |
| 1497932354 | Advanced Biomechanics Inc | Prosthetic/Orthotic Supplier | 215 N Fireweed St, Soldotna, AK 99669-7540 | 2008-01-23 |
| 1346422466 | Alchemy Orthotics & Prosthetics, LLC | Prosthetic/Orthotic Supplier | 12201 Industry Way, Suite D1, Anchorage, AK 99515-4316 | 2007-11-30 |
| 1801002639 | Frontier Community Services | Prosthetic/Orthotic Supplier | 43335 Kalifornsky Beach Road, Suite 36, Soldotna, AK 99669-8280 | 2007-05-16 |
| 1528199254 | Sitka Physical Therapy | Prosthetic/Orthotic Supplier | 700 Katlian St Ste E, Sitka, AK 99835-7359 | 2007-03-07 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.