BORE TIDE SERVICES, LLC
NPI 1831411826
Physician Assistant in Chugiak, AK

Active since February 18, 2010
22742 OBERG RD, CHUGIAK, AK 99567(907) 854-8452(907) 222-4641 Get Directions Write a Review

NPPES record last updated: February 18, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Bore Tide Services, Llc NPPES

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

BORE TIDE SERVICES, LLC (NPI 1831411826) is a healthcare organization registered as a physician assistant in Chugiak, Alaska and active in the NPI registry since February 2010. The organization lists Dennis S Serie, Physician Assistant, as its authorized official.

NPPES Registry Identity

NPI1831411826
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NameBORE TIDE SERVICES, LLC
Location Address22742 OBERG RDChugiak, AK 99567-5495
Mailing AddressPo Box 220685Anchorage, AK 99522-0685 · (907) 677-2990 · Fax (907) 222-4641
Fax(907) 222-4641
Organization SubpartNo
Authorized OfficialDennis S SeriePhysician Assistant · (907) 677-2990
Enumeration DateFebruary 18, 2010
NPI 1831411826 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 · 633
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.

22742 OBERG RD, Chugiak, AK 99567

Other Identifiers 2

Medicare PINK160650AK
MedicaidMDA0081AK

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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Physician Assistant (Medical)
22742 OBERG RD
CHUGIAK, AK 99567

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1831411826, enumerated as an "organization" on February 18, 2010.

The provider is located at 22742 OBERG RD CHUGIAK, AK 99567 and the phone number is (907) 854-8452.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.