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MEDICAL PARK FAMILY CARE, LLC
NPI 1144392317
Family Medicine in Anchorage, AK

Active since November 14, 2006CLIA 02D0864632 · Waiver
2211 E NORTHERN LIGHTS BLVD, ANCHORAGE, AK 99508(907) 257-8486(907) 677-5614 Get Directions Write a Review

NPPES record last updated: July 25, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 25, 2024, Aug 20, 2020, Oct 11, 2019 and 1 more (4 updates tracked since 2018).

About Medical Park Family Care, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEDICAL PARK FAMILY CARE, LLC (NPI 1144392317) is a healthcare organization registered as a family medicine in Anchorage, Alaska and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Joseph Fong, Administrator, as its authorized official.

NPPES Registry Identity

NPI1144392317
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMEDICAL PARK FAMILY CARE, LLC
Location Address2211 E NORTHERN LIGHTS BLVDAnchorage, AK 99508-4103
Mailing Address2211 E Northern Lights BlvdAnchorage, AK 99508 · (907) 279-8486 · Fax (907) 677-5614
Phone(907) 257-8486
Fax(907) 677-5614
Organization SubpartNo
Authorized OfficialJoseph FongAdministrator · (907) 257-8121
Enumeration DateNovember 14, 2006
Last NPPES UpdateJuly 25, 20244 updates tracked since enumeration
NPPES CertifiedJuly 25, 2024
✔ NPI 1144392317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2211 E NORTHERN LIGHTS BLVD, Anchorage, AK 99508
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Other Identifiers 3

OtherKOOOOWCHKZAK · Medicare
Other02D0864632AK · Clia
Medicaid1004348AK

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 02D0864632

Medical Park Family Care Inc · Anchorage, AK
Active · expires Aug 31, 2026
CLIA Number02D0864632
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDr. Matison R. White
Laboratory Phone(907) 279-8486
Laboratory LocationMedical Park Family Care Inc2211 E Northern Lights Blvd Suite 101, Anchorage, AK 99508
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 02D2097403

Medical Park Family Care, Inc · Anchorage, AK
Expired · Aug 23, 2026
CLIA Number02D2097403
Laboratory TypePhysician Office
Certificate Effective DateAugust 24, 2024
Certificate Expiration DateAugust 23, 2026
Laboratory DirectorMr. Bryan Lovan
Laboratory Phone(907) 677-5653
Laboratory LocationMedical Park Family Care, Inc2211 E Northern Lights Blvd, Suite 118 Attn Bryan Lovan, Anchorage, AK 99508
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. ROY MATISON WHITE JR. M.D.
Family Medicine
2211 E NORTHERN LIGHTS BLVD
ANCHORAGE, AK 99508
Anchorage Municipality (907) 279-8486
ERIC W TUERS
Family Medicine
2211 E NORTHERN LIGHTS BLVD
ANCHORAGE, AK 99508
Anchorage Municipality (907) 279-8486
DR. PETER JOHN MONTESANO MD
Family Medicine
2211 E NORTHERN LIGHTS BLVD
ANCHORAGE, AK 99508
Anchorage Municipality (907) 279-8486
MICHELLE BARTON LAUFER MD
Pediatrics
2211 E NORTHERN LIGHTS BLVD
ANCHORAGE, AK 99508
Anchorage Municipality (907) 279-8486
DR. JILL ELAINE GASKILL M.D.
Family Medicine
2211 E NORTHERN LIGHTS BLVD
ANCHORAGE, AK 99508
Anchorage Municipality (907) 279-8486
NATHAN KASUKONIS D.O.
Family Medicine
2211 E NORTHERN LIGHTS BLVD
ANCHORAGE, AK 99508
Anchorage Municipality (907) 279-8486
CHRISTOPHER S COON NP-C
Nurse Practitioner (Family)
2211 E NORTHERN LIGHTS BLVD
ANCHORAGE, AK 99508
Anchorage Municipality (907) 279-8486
LABORATORY CORPORATION OF AMERICA
Clinical Medical Laboratory
2211 E NORTHERN LIGHTS BLVD, SUITE 204
ANCHORAGE, AK 99508
Anchorage Municipality (907) 279-0249

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Medical Park Family Care, LLC's NPI number?

The NPI number for Medical Park Family Care, LLC is 1144392317. It was assigned to this organization in the NPPES registry on November 14, 2006.

Where is Medical Park Family Care, LLC located?

Medical Park Family Care, LLC is located at 2211 E Northern Lights Blvd, Anchorage, AK 99508. The listed phone number is (907) 257-8486.

What is Medical Park Family Care, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Medical Park Family Care, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 02D0864632) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Medical Park Family Care, LLC accept?

Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Medical Park Family Care, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Medical Park Family Care, LLC was last updated on July 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.