WHITE SPRUCE MEDICAL, LLC
NPI 1811521552
Internal Medicine in Fairbanks, AK

Active since March 02, 2020
1275 SADLER WAY STE 100, FAIRBANKS, AK 99701(907) 452-3600(907) 452-3695 Get Directions Write a Review

NPPES record last updated: March 2, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About White Spruce Medical, Llc NPPES

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

WHITE SPRUCE MEDICAL, LLC (NPI 1811521552) is a healthcare organization registered as an internal medicine in Fairbanks, Alaska and active in the NPI registry since March 2020. The organization lists Audrey Stack, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1811521552
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameWHITE SPRUCE MEDICAL, LLC
Location Address1275 SADLER WAY STE 100Fairbanks, AK 99701-3175
Mailing Address1275 Sadler Way Ste 100Fairbanks, AK 99701-3175 · (907) 452-3600 · Fax (907) 452-3695
Fax(907) 452-3695
Organization SubpartNo
Authorized OfficialAudrey StackOffice Manager · (907) 452-3600
Enumeration DateMarch 2, 2020
NPPES CertifiedMarch 2, 2020
NPI 1811521552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedNaturopathTaxonomy 175F00000X
1275 SADLER WAY STE 100, Fairbanks, AK 99701

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

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 White Spruce Medical, LLC's NPI number?

The NPI number for White Spruce Medical, LLC is 1811521552. It was assigned to this organization in the NPPES registry on March 2, 2020.

Where is White Spruce Medical, LLC located?

White Spruce Medical, LLC is located at 1275 Sadler Way Ste 100, Fairbanks, AK 99701. The listed phone number is (907) 452-3600.

What is White Spruce Medical, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for White Spruce Medical, LLC was last updated on March 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.