SURGERY CENTER OF FAIRBANKS LLC


Address: 2310 Peger Road, Fairbanks, AK 99709
Phone: 9074792663

SURGERY CENTER OF FAIRBANKS LLC (NPI# 1255652285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255652285
Entity Type Organization
Organization Name SURGERY CENTER OF FAIRBANKS LLC
Practice Address 2310 Peger Road
Fairbanks
AK 99709
Mailing Address 1905 Cowles St
Fairbanks
AK 99701-5914
Practice Telephone 9074792663
Mailing Telephone 9074792663
Enumeration Date 2010-06-14
Last Update Date 2010-11-29
Authorized Official Name DR. MARK A WADE (OWNER)
Authorized Official Telephone 9074792663
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QA1903X Clinic/Center
Specialization: Ambulatory Surgical
AK Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
AK HEALTH FACILITIES LICENSING AND CERTIFICATION ASC-013 01
AK AK BUSINESS LICENSE 929695 01

Office Location

Street Address 2310 PEGER ROAD
City FAIRBANKS
State AK
Zip Code 99709

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255946810 Beacon Monitoring Professional Services Technician, Other 745 Staffordshire Rd, Fairbanks, AK 99709 2020-09-10
1235629544 Fairbanks Healing Space Health Educator 3875 Geist Road, Suite E #136, Fairbanks, AK 99709 2018-05-11
1609395409 Shawn K Goggins Counselor 1423 Peger Road, Fairbanks, AK 99709 2017-09-12
1710433347 Jay Titus Technician/Technologist 2884 Marina Drive, Fairbanks, AK 99709 2016-09-01
1710391610 Hannah Summerfelt Dentist 3539 Thomas St, Fairbanks, AK 99709 2014-06-18
1629407325 Diane Louise Mitchell Nurse Practitioner 4650 Harvard Cir, Fairbanks, AK 99709 2013-11-04
1407147929 Christina Martz Counselor 1270 Summet Drive, Fairbanks, AK 99709 2011-05-02
1962661835 John Leo Hughes Jr Jr. Dentist 3437 Airport Way, Suite 205, Fairbanks, AL 99709 2008-06-05
1508042417 Katherine E Johnson, Md PC Ophthalmology 2485 Chief William Drive, Suite 100, Fairbanks, AK 99709 2008-01-10
1245449362 David Kirk Smith Chiropractor 899 Chena Pump Road, Suite B, Fairbanks, AK 99709 2007-05-22
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Taxonomy Information

Taxonomy Code 261QA1903X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Ambulatory Surgical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184016461 Ww Enterprise, LLC Clinic/Center 2485 Chief William Dr, Fairbanks, AK 99709-4873 2015-02-24

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1932676343 Exexias Metrita - Anchorage LLC Clinic/Center 3074 Mountain View Dr Ste 193, Anchorage, AK 99501-3144 2018-10-24
1073009304 Susitna Surgery Center LLC Clinic/Center 2490 S Woodworth Loop Ste 100, Palmer, AK 99645-7410 2018-07-10
1144677840 Arctic Surgery Center LLC Clinic/Center 1335 Gambell St, Anchorage, AK 99501-4629 2016-05-23
1922464874 Asc North LLC Clinic/Center 6911 Debarr Rd, Anchorage, AK 99504-1806 2016-01-07
1679998025 Surgery Center of Kenai Clinic/Center 100 Trading Bay Dr, Kenai, AK 99611-7716 2014-02-21
1649534843 Surgery Center of Wasilla, LLC Clinic/Center 3190 E Meridian Park Loop Ste 111, Wasilla, AK 99654-7422 2012-07-02
1710207998 Providence Surgery Centers LLC Clinic/Center 3831 Piper St. Suite S-110, Anchorage, AK 99508 2010-06-10
1770605214 Anchorage Endoscopy Center, LLC Clinic/Center 2841 Debarr Rd Ste 51, Anchorage, AK 99508-2932 2007-04-04
1316942048 Alaska Spine Institute Surgery Center, LLC Clinic/Center 3801 Lake Otis Pkwy Ste 100, Anchorage, AK 99508-5234 2005-06-17
1184195877 Alpine Surgicenter, LLC Clinic/Center 3801 Lake Otis Pkwy, Anchorage, AK 99508-5234 2018-12-06
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Competitor

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City FAIRBANKS
Zip Code 99709

Improve Information

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Dataset Information

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.

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