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FIRESIDE FAMILY MEDICINE LLC
NPI 1831702455
Family Medicine in North Pole, AK

Active since August 24, 2020CLIA 02D2195332 · Microscopy
2957 SANTA PATRICIA CT, NORTH POLE, AK 99705(907) 385-0257(907) 385-0249 Get Directions Write a Review

NPPES record last updated: August 20, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 20, 2021, Sep 22, 2020, Aug 26, 2020 (3 updates tracked since 2020).

About Fireside Family Medicine Llc NPPES

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

FIRESIDE FAMILY MEDICINE LLC (NPI 1831702455) is a healthcare organization registered as a family medicine in North Pole, Alaska and active in the NPI registry since August 2020. The organization holds a CLIA Microscopy certificate valid through October 6, 2026 and lists Bart Worthington, Owner, as its authorized official.

NPPES Registry Identity

NPI1831702455
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFIRESIDE FAMILY MEDICINE LLC
Location Address2957 SANTA PATRICIA CTNorth Pole, AK 99705-6138
Mailing Address2957 Santa Patricia CtNorth Pole, AK 99705-6138 · (907) 385-0257 · Fax (907) 385-0249
Phone(907) 385-0257
Fax(907) 385-0249
Organization SubpartNo
Authorized OfficialBart WorthingtonOwner · (606) 234-5183
Enumeration DateAugust 24, 2020
Last NPPES UpdateAugust 20, 20213 updates tracked since enumeration
NPPES CertifiedAugust 20, 2021
✔ NPI 1831702455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2957 SANTA PATRICIA CT, North Pole, AK 99705
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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

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 for Provider-Performed Microscopy Procedures (PPMP) 02D2195332

Fireside Family Medicine · North Pole, AK
Active · expires Oct 6, 2026
CLIA Number02D2195332
Laboratory TypePhysician Office
Certificate Effective DateOctober 7, 2024
Certificate Expiration DateOctober 6, 2026
Laboratory DirectorDr. Bart D. Worthington
Laboratory Phone(907) 385-0257
Laboratory LocationFireside Family Medicine2957 Santa Patricia Court, North Pole, AK 99705
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 3

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

BART D. WORTHINGTON D.O.
Family Medicine
2957 SANTA PATRICIA CT
NORTH POLE, AK 99705
Fairbanks North Star Borough (907) 385-0257
LYNDSEY E SMITH FNP-C
Nurse Practitioner (Family)
2957 SANTA PATRICIA CT
NORTH POLE, AK 99705
Fairbanks North Star Borough (907) 385-0257
FAR NORTH URGENT CARE
Clinic/Center (Urgent Care)
2957 SANTA PATRICIA CT
NORTH POLE, AK 99705
Fairbanks North Star Borough (907) 385-0257

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 Fireside Family Medicine LLC's NPI number?

The NPI number for Fireside Family Medicine LLC is 1831702455. It was assigned to this organization in the NPPES registry on August 24, 2020.

Where is Fireside Family Medicine LLC located?

Fireside Family Medicine LLC is located at 2957 Santa Patricia Ct, North Pole, AK 99705. The listed phone number is (907) 385-0257.

What is Fireside Family Medicine LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Fireside Family Medicine LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 02D2195332) is associated with this NPI, valid through October 6, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Fireside Family Medicine LLC accept?

Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Fireside Family Medicine LLC 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 Fireside Family Medicine LLC was last updated on August 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.