GREGORY EDWARD FAHL
NPI 1275039117
Pediatrics in Anchorage, AK

Q: What is Gregory Fahl's NPI number?

The NPI number for Gregory Fahl is 1275039117. It was assigned to this individual provider in the NPPES registry on March 31, 2018.

Q: What is Gregory Fahl's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Gregory Fahl was last updated on August 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since March 31, 2018

3340 PROVIDENCE DR, STE 452, ANCHORAGE, AK 99508(907) 562-2120(907) 562-6527 Get Directions Write a Review

NPPES record last updated: August 1, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 1, 2022, Aug 18, 2020, Mar 31, 2018 (3 updates tracked since 2018).

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About Gregory Edward Fahl NPPES

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

GREGORY EDWARD FAHL (NPI 1275039117) is an individual pediatrics provider in Anchorage, Alaska, licensed in Washington (ML60865675) and active in the NPI registry since March 2018.

NPPES Registry Identity

NPI1275039117

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameGREGORY EDWARD FAHL

Location Address3340 PROVIDENCE DR, STE 452Anchorage, AK 99508-4628

Mailing Address3340 Providence Dr, Ste 452Anchorage, AK 99508-4628 · (907) 562-2120 · Fax (907) 562-6527

Phone(907) 562-2120

Fax(907) 562-6527

Sole ProprietorNo

Enumeration DateMarch 31, 2018

Last NPPES UpdateAugust 1, 20223 updates tracked since enumeration

NPPES CertifiedAugust 1, 2022

✔ NPI 1275039117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in WA · ML60865675

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

3340 PROVIDENCE DR, Anchorage, AK 99508

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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 ›

Other Providers at the Same Location NPPES 20

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

SANDRA FRENIER CPNP

Nurse Practitioner (Pediatrics)

3340 PROVIDENCE DR, SUITE 452
ANCHORAGE, AK 99508

Anchorage Municipality (907) 562-2120

WENDY BAILEY MD

Pediatrics (Pediatric Endocrinology)

3340 PROVIDENCE DR, SUITE A-351
ANCHORAGE, AK 99508

Anchorage Municipality (907) 212-4824

SAGE ASHER RN

Registered Nurse

3340 PROVIDENCE DR
ANCHORAGE, AK 99508

Anchorage Municipality (907) 212-3607

STEPHANIE S FORTT LCSW

Social Worker (Clinical)

3340 PROVIDENCE DR, SUITE A351
ANCHORAGE, AK 99508

Anchorage Municipality (907) 212-4824

JODYNE L BUTTO MD

Pediatrics

3340 PROVIDENCE DR, STE 500
ANCHORAGE, AK 99508

Anchorage Municipality (907) 562-2423

NICOLE KOPACZ ANP

Nurse Practitioner (Family)

3340 PROVIDENCE DR, SUITE 452
ANCHORAGE, AK 99508

Anchorage Municipality (907) 562-2120

DR. JOHN M. SNYDER MD

Surgery

3340 PROVIDENCE DR, 457
ANCHORAGE, AK 99508

Anchorage Municipality (907) 333-8854

CHARLES RYAN MD

Pediatrics

3340 PROVIDENCE DR, STE 500
ANCHORAGE, AK 99508

Anchorage Municipality (907) 562-2423

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 Gregory Fahl's NPI number?

The NPI number for Gregory Fahl is 1275039117. It was assigned to this individual provider in the NPPES registry on March 31, 2018.

Where is Gregory Fahl located?

Gregory Fahl practices at 3340 Providence Dr Ste 452, Anchorage, AK 99508. The listed phone number is (907) 562-2120.

What is Gregory Fahl's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

What insurance does Gregory Fahl accept?

Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Gregory Fahl 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 Gregory Fahl was last updated on August 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.