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FULL SPECTRUM PEDIATRICS, PC
NPI 1639463953
Clinic/Center in Anchorage, AK

Active since June 03, 2011CLIA 02D2025663 · Waiver
2841 DEBARR RD, BLDG A, SUITE 23, ANCHORAGE, AK 99508(907) 677-1864(907) 868-5167 Get Directions Write a Review

NPPES record last updated: June 3, 2011. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Full Spectrum Pediatrics, Pc NPPES

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

FULL SPECTRUM PEDIATRICS, PC (NPI 1639463953) is a healthcare organization registered as a clinic/center in Anchorage, Alaska and active in the NPI registry since June 2011. The organization holds a CLIA Waiver certificate valid through June 13, 2027 and lists Stephen Scott Baker, President, as its authorized official.

NPPES Registry Identity

NPI1639463953
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameFULL SPECTRUM PEDIATRICS, PC
Location Address2841 DEBARR RD, BLDG A, SUITE 23Anchorage, AK 99508-2958
Mailing Address2841 Debarr Rd, Bldg A, Suite 23Anchorage, AK 99508-2958 · (907) 677-1864 · Fax (907) 868-5167
Phone(907) 677-1864
Fax(907) 868-5167
Organization SubpartNo
Authorized OfficialStephen Scott BakerPresident · (907) 677-1864
Enumeration DateJune 3, 2011
✔ NPI 1639463953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in AK · 4587
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
2841 DEBARR RD, Anchorage, AK 99508
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Other Identifiers 1

Medicaid3255AK

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

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 02D2025663

Full Spectrum Pediatrics, PC · Anchorage, AK
Active · expires Jun 13, 2027
CLIA Number02D2025663
Laboratory TypePhysician Office
Certificate Effective DateJune 14, 2025
Certificate Expiration DateJune 13, 2027
Laboratory DirectorDr. Stephen S. Baker
Laboratory Phone(907) 677-1864
Laboratory LocationFull Spectrum Pediatrics, PC2925 Debarr Road, Suite 125, Anchorage, AK 99508
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

DR. STEPHEN SCOTT BAKER M.D.
Pediatrics
2841 DEBARR RD, BLDG A, SUITE 23
ANCHORAGE, AK 99508
Anchorage Municipality (907) 677-1864
MS. MARY (DOLLY) E LEFEVER NP
Nurse Practitioner (Family)
2841 DEBARR RD, STE 37
ANCHORAGE, AK 99508
Anchorage Municipality (907) 279-2229
MARY ANN JACOB M.D.
Pediatrics
2841 DEBARR RD, SUITE 45
ANCHORAGE, AK 99508
Anchorage Municipality (907) 274-0274
ANNETTE M HEWITT ANP
Nurse Practitioner
2841 DEBARR RD, SUITE 40
ANCHORAGE, AK 99508
Anchorage Municipality (907) 743-1435
DR. ROLAND EDWARD GOWER M.D.
Surgery
2841 DEBARR RD, SUITE 41
ANCHORAGE, AK 99508
Anchorage Municipality (907) 279-3564
DR. KATHERINE L KOLB MD
Family Medicine
2841 DEBARR RD, STE 31
ANCHORAGE, AK 99508
Anchorage Municipality (907) 264-2000
DR. KENNETH ROBERT MOLL MD
Family Medicine
2841 DEBARR RD, STE 31
ANCHORAGE, AK 99508
Anchorage Municipality (907) 264-2000
WILLIAM LEROY HEROLD M.D.
Family Medicine
2841 DEBARR RD, SUITE 22
ANCHORAGE, AK 99508
Anchorage Municipality (907) 276-6301

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 Full Spectrum Pediatrics, PC's NPI number?

The NPI number for Full Spectrum Pediatrics, PC is 1639463953. It was assigned to this organization in the NPPES registry on June 3, 2011.

Where is Full Spectrum Pediatrics, PC located?

Full Spectrum Pediatrics, PC is located at 2841 Debarr Rd Bldg A, Suite 23, Anchorage, AK 99508. The listed phone number is (907) 677-1864.

What is Full Spectrum Pediatrics, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Full Spectrum Pediatrics, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 02D2025663) is associated with this NPI, valid through June 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Full Spectrum Pediatrics, PC accept?

Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Full Spectrum Pediatrics, PC 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 Full Spectrum Pediatrics, PC was last updated on June 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.