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FAIRBANKS CANCER CARE PHYSICIANS
NPI 1386759470
Internal Medicine - Hematology & Oncology in Fairbanks, AK

Active since August 20, 2006CLIA 02D2190940 · Waiver
1640 COWLES ST, SUITE 1, FAIRBANKS, AK 99701(907) 452-4768(907) 452-1009 Get Directions Write a Review

NPPES record last updated: March 26, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fairbanks Cancer Care Physicians NPPES

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

FAIRBANKS CANCER CARE PHYSICIANS (NPI 1386759470) is a healthcare organization registered as a hematology & oncology in Fairbanks, Alaska and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through August 19, 2026 and lists Jacqueline Cox, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1386759470
Entity TypeOrganization
Primary Taxonomy207RH0003X
Legal Business NameFAIRBANKS CANCER CARE PHYSICIANS
Location Address1640 COWLES ST, SUITE 1Fairbanks, AK 99701-5925
Mailing Address1640 Cowles St, Suite 1Fairbanks, AK 99701-5925 · (907) 452-4768 · Fax (907) 452-1009
Phone(907) 452-4768
Fax(907) 452-1009
Organization SubpartNo
Authorized OfficialJacqueline CoxCo-owner · (907) 452-4768
Enumeration DateAugust 20, 2006
Last NPPES UpdateMarch 26, 2013
✔ NPI 1386759470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in AK · 926150
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
1640 COWLES ST, Fairbanks, AK 99701
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Other Identifiers 20

Medicare UPINR56962AK
Medicare ID-Type UnspecifiedK160113AK · Individual Number
MedicaidMD14421AK
MedicaidMDG543AK
Medicare UPINC97029AK
Medicare ID-Type UnspecifiedK160116AK · Individual Number
MedicaidMD6153AK
MedicaidMD69431AK
Medicare PINK162482AK
Medicare PINK162483AK
MedicaidMPG0088AK
MedicaidNP7619AK
Medicare ID-Type UnspecifiedK160115AK · Individual Number
Medicare UPING63087
Medicare ID-Type UnspecifiedK160112AK · Group Number
Medicare PINK162481AK
Medicare ID-Type UnspecifiedK160114AK · Individual Number
Medicare PINK162480AK
Medicare UPING80242
Medicare PINK162479AK

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

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 02D2190940

Fairbanks Cancer Care Physician, PC · Fairbanks, AK
Active · expires Aug 19, 2026
CLIA Number02D2190940
Laboratory TypePhysician Office
Certificate Effective DateAugust 20, 2024
Certificate Expiration DateAugust 19, 2026
Laboratory DirectorDr. W Wm Andrew Cox
Laboratory Phone(907) 452-4768
Laboratory LocationFairbanks Cancer Care Physician, PC1640 Cowles Street, Ste 1, Fairbanks, AK 99701
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

W WILLIAM ANDREW COX MD
Internal Medicine (Hematology & Oncology)
1640 COWLES ST
SUITE 1, AK 99701
Fairbanks North Star Borough (907) 452-4768
MS. BRITNI RANAE BROWNING PA-C
Physician Assistant
1640 COWLES ST, SUITE 1
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 452-4768
ALYSSA PROLLOCK RD
Dietitian, Registered (Nutrition, Oncology)
1640 COWLES ST
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 458-5629
JACQUELINE ANN COX MD
Internal Medicine (Hematology & Oncology)
1640 COWLES ST, SUITE 1
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 452-4768
ANGELA EMERSON PA-C
Physician Assistant
1640 COWLES ST
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 452-4768
NANCY LEE SCHUPP ANP
Nurse Practitioner
1640 COWLES ST, SUITE 1
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 452-4768

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 Fairbanks Cancer Care Physicians's NPI number?

The NPI number for Fairbanks Cancer Care Physicians is 1386759470. It was assigned to this organization in the NPPES registry on August 20, 2006.

Where is Fairbanks Cancer Care Physicians located?

Fairbanks Cancer Care Physicians is located at 1640 Cowles St Suite 1, Fairbanks, AK 99701. The listed phone number is (907) 452-4768.

What is Fairbanks Cancer Care Physicians's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Does Fairbanks Cancer Care Physicians hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 02D2190940) is associated with this NPI, valid through August 19, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Fairbanks Cancer Care Physicians accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 35 other insurers list Fairbanks Cancer Care Physicians 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 Fairbanks Cancer Care Physicians was last updated on March 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.