ARCTIC PHYSICAL MEDICINE BARROW NPI 1710352281

Nurse Practitioner in Barrow, AK

NPI 1710352281 Organization Nurse Practitioner

About ARCTIC PHYSICAL MEDICINE BARROW

Arctic Physical Medicine Barrow is a provider established in Barrow, Alaska specializing in nurse practitioner. The NPI number of Arctic Physical Medicine Barrow is 1710352281 and was assigned on December 2015. The practitioner's primary taxonomy code is 363L00000X with license number NP 106041 (AK). The provider is registered as an organization and their NPI record was last updated 6 years ago. Arctic Physical Medicine Barrow operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Justin James Petersen Dc (Owner)

A nurse practitioner (NP) like Arctic Physical Medicine Barrow is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

NPI

1710352281

Provider NameARCTIC PHYSICAL MEDICINE BARROW
Provider Location Address1655 OKPIK ST BARROW, AK 99723
Provider Mailing Address4000 W DIMOND BLVD SUITE 4 ANCHORAGE, AK 99502
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date12-09-2015
Last Update Date12-09-2015


Primary Taxonomy

Taxonomy Code363L00000X
ClassificationNurse Practitioner
TypePhysician Assistants & Advanced Practice Nursing Providers
License No.NP 106041
License StateAK
Taxonomy Description(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Business Address

ARCTIC PHYSICAL MEDICINE BARROW
1655 OKPIK ST
BARROW, AK
ZIP 99723
Phone: (907) 852-3099
Fax: (907) 852-3225

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Mailing Address

ARCTIC PHYSICAL MEDICINE BARROW
4000 W DIMOND BLVD
SUITE 4
ANCHORAGE, AK
ZIP 99502
Phone: (907) 852-3099
Fax: (907) 852-3225



Authorized Official

Authorized Official Name JUSTIN JAMES PETERSEN DC
Authorized Official TitleOWNER
Authorized Official Phone(907) 852-3099

Group Taxonomy


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

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1770049496MS. DIANE L SHERRILL BELCZYK LMT
Individual
Massage Therapist1655 OKPIK ST
UTQIAGVIK, AK 99723
(907) 360-0106

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.