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STEPHEN SHORTRIDGE
NPI 1861637555
Physician Assistant in Big Lake, AK

Active since December 09, 2008
10927 WEST PARKS HWY., BIG LAKE, AK 99652(907) 892-3350(907) 892-3351 Get Directions Write a Review

NPPES record last updated: July 23, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stephen Shortridge NPPES

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

STEPHEN SHORTRIDGE (NPI 1861637555) is a healthcare organization registered as a physician assistant in Big Lake, Alaska and active in the NPI registry since December 2008. The organization lists Stephen Matthew Shortrige, Owner, as its authorized official.

NPPES Registry Identity

NPI1861637555
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NameRAINBOW MEDICAL CLINIC
Location Address10927 WEST PARKS HWY.Big Lake, AK 99652-0562
Mailing AddressPo Box 520562Big Lake, AK 99652-0562 · (907) 892-3350 · Fax (907) 892-3351
Phone(907) 892-3350
Fax(907) 892-3351
Organization SubpartNo
Authorized OfficialStephen Matthew ShortrigeOwner · (907) 892-3350
Enumeration DateDecember 9, 2008
Last NPPES UpdateJuly 23, 2009
✔ NPI 1861637555 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 · 394
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.
10927 WEST PARKS HWY., Big Lake, AK 99652
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Other Names 1

Other NameStephen Shortridge

Other Identifiers 2

Other1700994118Npi
Medicare UPINS31230

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

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 Rainbow Medical Clinic's NPI number?

The NPI number for Rainbow Medical Clinic is 1861637555. It was assigned to this organization in the NPPES registry on December 9, 2008. The provider is also known as Stephen Shortridge.

Where is Rainbow Medical Clinic located?

Rainbow Medical Clinic is located at 10927 West Parks Hwy., Big Lake, AK 99652. The listed phone number is (907) 892-3350.

What is Rainbow Medical Clinic's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Rainbow Medical Clinic was last updated on July 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.