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HAVEN MEDICAL, LLC
NPI 1407306434
Physician Assistant in Anchorage, AK

Active since October 13, 2016
3340 PROVIDENCE DR, STE 466, ANCHORAGE, AK 99508(907) 263-2200 Get Directions Write a Review

NPPES record last updated: October 14, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Haven Medical, Llc NPPES

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

HAVEN MEDICAL, LLC (NPI 1407306434) is a healthcare organization registered as a physician assistant in Anchorage, Alaska and active in the NPI registry since October 2016. The organization lists Patricia Brown, Owner/ Member, as its authorized official.

NPPES Registry Identity

NPI1407306434
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NameHAVEN MEDICAL, LLC
Location Address3340 PROVIDENCE DR, STE 466Anchorage, AK 99508-4691
Mailing Address3340 Providence Dr, Ste 466Anchorage, AK 99508-4691 · (907) 263-2200
Phone(907) 263-2200
Organization SubpartNo
Authorized OfficialPatricia BrownOwner/ Member · (907) 263-2200
Enumeration DateOctober 13, 2016
Last NPPES UpdateOctober 14, 2016
✔ NPI 1407306434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in AK · 410
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3340 PROVIDENCE DR, Anchorage, AK 99508
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Haven Medical, LLC's NPI number?

The NPI number for Haven Medical, LLC is 1407306434. It was assigned to this organization in the NPPES registry on October 13, 2016.

Where is Haven Medical, LLC located?

Haven Medical, LLC is located at 3340 Providence Dr Ste 466, Anchorage, AK 99508. The listed phone number is (907) 263-2200.

What is Haven Medical, LLC's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Haven Medical, LLC was last updated on October 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.