FAR NORTH UROLOGY & RESEARCH PC (NPI# 1740897503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740897503 |
| Entity Type | Organization |
| Organization Name | FAR NORTH UROLOGY & RESEARCH PC |
| Practice Address |
2120 Sonstrom Dr Anchorage AK 99517-1018 |
| Practice Telephone | 9073511258 |
| Mailing Telephone | 9073511258 |
| Enumeration Date | 2020-09-25 |
| Last Update Date | 2020-09-25 |
| Authorized Official Name | WILLIAM R CLARK (PRESIDENT) |
| Authorized Official Telephone | 9073511258 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| Street Address |
2120 SONSTROM DR |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99517-1018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871905679 | Luminary LLC | Massage Therapist | 1838 W. Northern Lights, Anchorage, AK 99517 | 2014-05-28 |
| 1447595129 | Antonina Ivanovna Shangraw | Behavioral Analyst | 2425 Captain Cook Dr, Anchorage, AK 99517 | 2012-12-06 |
| 1407000755 | James N. Duchanin | Physician Assistant | 3105 Lakeshore Dr., Bldg A, Ste 101, Anchorage, AK 99517 | 2008-11-13 |
| 1720290786 | Turnagain Foster Home | Assisted Living Facility | 2812 West 29th Ave, Anchorage, AK 99517 | 2007-05-04 |
| 1124244306 | Turnagain Foster Home | Taxi | 2900 West 29th Ave, Anchorage, AK 99517 | 2007-04-17 |
| 1497825798 | Scott Paul Mackie | Internal Medicine | 3710 Woodland Road, Suite 1100, Anchorage, AK 99517 | 2006-11-08 |
| 1629046446 | Ana Verzone | Nurse Practitioner | 3740 Clay Products Dr., Anchorage, AK 99517 | 2006-03-08 |
| 1376697011 | Celia Foley | Speech-Language Pathologist | 2515 Telequana Dr, Anchorage, AK 99517-1028 | 2007-01-22 |
| 1730122946 | Daryl A Young | Nurse Practitioner | 3611 Knik Avenue, Anchorage, AK 99517-1045 | 2006-06-14 |
| 1598992372 | Care Navigators | Case Management | 3316 Knik Ave, Anchorage, AK 99517-1103 | 2009-06-18 |
| Find all providers in zip 99517 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649211194 | Andre' S Godet | Urology | 3841 Piper St Ste T300, Anchorage, AK 99508-4624 | 2006-06-08 |
| 1124091939 | Robert C Allen Jr. | Urology | 188 W Northern Lights Blvd, Suite 800, Anchorage, AK 99503-3902 | 2006-02-10 |
| 1336136936 | Alaska Women's Health Services, Inc | Urology | 4115 Lake Otis Pkwy, Anchorage, AK 99508-5213 | 2005-09-29 |
| 1366860314 | Bryan James Wilson | Urology | 4315 Diplomacy Dr, Anchorage, AK 99508 | 2014-04-06 |
| 1861831273 | Elysia Sophia Spencer | Urology | 4315 Diplomacy Dr, Anchorage, AK 99508-5926 | 2013-06-19 |
| 1598921546 | Benjamin Titus Montgomery | Urology | 3841 Piper St, Suite T300, Anchorage, AK 99508-4624 | 2008-07-30 |
| 1659533222 | Mariam Imnadze Miller | Urology | 4315 Diplomacy Dr, Dept of Urology, Anchorage, AK 99508-5926 | 2008-06-25 |
| 1902067390 | Joshua E Logan | Urology | 188 W Northern Lights Blvd Ste 800, Anchorage, AK 99503-3984 | 2008-06-19 |
| 1083890180 | Alaska Womens Health PC | Urology | 3260 Providence Dr, Suite 322, Anchorage, AK 99508-4661 | 2008-01-18 |
| 1720262165 | Kevin M Tomera Md Inc | Urology | 1200 Airport Heights Dr, Ste 210, Anchorage, AK 99508-2943 | 2007-12-20 |
| Find all providers in ANCHORAGE | ||||
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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.