DENALI SURGICAL SPECIALISTS, LLC
NPI 1356514574
Surgery in Fairbanks, AK

Active since April 09, 2008
1626 30TH AVE, SUITE 201, FAIRBANKS, AK 99701(907) 456-3100(907) 456-3141 Get Directions Write a Review

NPPES record last updated: May 9, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Surgery

About DENALI SURGICAL SPECIALISTS, LLC

This page provides the complete NPI Profile along with additional information for Denali Surgical Specialists, Llc, a provider established in Fairbanks, Alaska operating as a Surgery. The healthcare provider is registered in the NPI registry with number 1356514574 assigned on April 2008. The practitioner's primary taxonomy code is 208600000X with license number 2658 (AK). The provider is registered as an organization and their NPI record was last updated 12 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Jon F Lieberman M.d. (Owner)

NPI
1356514574 Verify this NPI
Provider Name
DENALI SURGICAL SPECIALISTS, LLC
Entity Type
Organization
Location Address
1626 30TH AVE SUITE 201 FAIRBANKS, AK 99701
Location Phone
(907) 456-3100
Location Fax
(907) 456-3141
Mailing Address
1626 30TH AVE SUITE 201 FAIRBANKS, AK 99701
Mailing Phone
(907) 456-3100
Mailing Fax
(907) 456-3141
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-09-2008
Last Update Date
05-09-2014
Code Navigator

A surgeon like Denali Surgical Specialists, Llc treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Surgery

Taxonomy Code
208600000X
Type
Allopathic & Osteopathic Physicians
License No.
2658
License State
AK
Taxonomy Description
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JON F LIEBERMAN M.D.

Authorized Official Title
OWNER
Authorized Official Phone
(907) 456-3100

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1020522MEDICAID (05)AK 

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Other Providers at the Same Location


The following 14 providers are registered at the same or a nearby location.

Obstetrics & Gynecology (Obstetrics)
1626 30TH AVE
FAIRBANKS, AK 99701
Nurse Practitioner (Obstetrics & Gynecology)
1626 30TH AVE
FAIRBANKS, AK 99701
Surgery
1626 30TH AVE, SUITE 201
FAIRBANKS, AK 99701
Internal Medicine
1626 30TH AVE
FAIRBANKS, AK 99701
Nurse Practitioner (Obstetrics & Gynecology)
1626 30TH AVE
FAIRBANKS, AK 99701
Nurse Practitioner (Obstetrics & Gynecology)
1626 30TH AVE
FAIRBANKS, AK 99701
Nurse Practitioner (Family)
1626 30TH AVE
FAIRBANKS, AK 99701
Clinical Medical Laboratory
1626 30TH AVE
FAIRBANKS, AK 99701
Specialist
1626 30TH AVE, SUITE 204
FAIRBANKS, AK 99701
Preferred Provider Organization
1626 30TH AVE, SUITE 204
FAIRBANKS, AK 99701
Nurse Practitioner (Obstetrics & Gynecology)
1626 30TH AVE
FAIRBANKS, AK 99701
Obstetrics & Gynecology
1626 30TH AVE
FAIRBANKS, AK 99701
Advanced Practice Midwife
1626 30TH AVE
FAIRBANKS, AK 99701
Nurse Practitioner
1626 30TH AVE
FAIRBANKS, AK 99701

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356514574, enumerated as an "organization" on April 09, 2008.

The provider is located at 1626 30TH AVE SUITE 201 FAIRBANKS, AK 99701 and the phone number is (907) 456-3100.

Surgery with taxonomy code 208600000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.