PEDIATRIC GASTROENTEROLOGY OF ALASKA, LLC
NPI 1962539775
Pediatrics - Pediatric Gastroenterology in Anchorage, AK

Q: What is Pediatric Gastroenterology Of Alaska, LLC's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Active since February 28, 2007

3340 PROVIDENCE DR, SUITE 567, ANCHORAGE, AK 99508(907) 276-5517(907) 279-3655 Get Directions Write a Review

NPPES record last updated: October 16, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Pediatric Gastroenterology Of Alaska, Llc NPPES

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

PEDIATRIC GASTROENTEROLOGY OF ALASKA, LLC (NPI 1962539775) is a healthcare organization registered as a pediatric gastroenterology in Anchorage, Alaska and active in the NPI registry since February 2007. The organization lists Charles Allan Pratt, Manager, as its authorized official.

NPPES Registry Identity

NPI1962539775

Entity TypeOrganization

Primary Taxonomy2080P0206X

Legal Business NamePEDIATRIC GASTROENTEROLOGY OF ALASKA, LLC

Location Address3340 PROVIDENCE DR, SUITE 567Anchorage, AK 99508-4616

Mailing Address3340 Providence Dr, Suite 567Anchorage, AK 99508-4616 · (907) 276-5517 · Fax (907) 279-3655

Phone(907) 276-5517

Fax(907) 279-3655

Organization SubpartNo

Authorized OfficialCharles Allan PrattManager · (907) 276-5517

Enumeration DateFebruary 28, 2007

Last NPPES UpdateOctober 16, 2007

✔ NPI 1962539775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0206X

Definition

A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.

3340 PROVIDENCE DR, Anchorage, AK 99508

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Other Identifiers 1

Medicare ID-Type Unspecified153393

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 20

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

SANDRA FRENIER CPNP

Nurse Practitioner (Pediatrics)

3340 PROVIDENCE DR, SUITE 452
ANCHORAGE, AK 99508

Anchorage Municipality (907) 562-2120

WENDY BAILEY MD

Pediatrics (Pediatric Endocrinology)

3340 PROVIDENCE DR, SUITE A-351
ANCHORAGE, AK 99508

Anchorage Municipality (907) 212-4824

SAGE ASHER RN

Registered Nurse

3340 PROVIDENCE DR
ANCHORAGE, AK 99508

Anchorage Municipality (907) 212-3607

STEPHANIE S FORTT LCSW

Social Worker (Clinical)

3340 PROVIDENCE DR, SUITE A351
ANCHORAGE, AK 99508

Anchorage Municipality (907) 212-4824

JODYNE L BUTTO MD

Pediatrics

3340 PROVIDENCE DR, STE 500
ANCHORAGE, AK 99508

Anchorage Municipality (907) 562-2423

NICOLE KOPACZ ANP

Nurse Practitioner (Family)

3340 PROVIDENCE DR, SUITE 452
ANCHORAGE, AK 99508

Anchorage Municipality (907) 562-2120

DR. JOHN M. SNYDER MD

Surgery

3340 PROVIDENCE DR, 457
ANCHORAGE, AK 99508

Anchorage Municipality (907) 333-8854

CHARLES RYAN MD

Pediatrics

3340 PROVIDENCE DR, STE 500
ANCHORAGE, AK 99508

Anchorage Municipality (907) 562-2423

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 Pediatric Gastroenterology Of Alaska, LLC's NPI number?

The NPI number for Pediatric Gastroenterology Of Alaska, LLC is 1962539775. It was assigned to this organization in the NPPES registry on February 28, 2007.

Where is Pediatric Gastroenterology Of Alaska, LLC located?

Pediatric Gastroenterology Of Alaska, LLC is located at 3340 Providence Dr Suite 567, Anchorage, AK 99508. The listed phone number is (907) 276-5517.

What is Pediatric Gastroenterology Of Alaska, LLC's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

When was this NPI record last updated?

The NPPES record for Pediatric Gastroenterology Of Alaska, LLC was last updated on October 16, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.