Unknown Individual – Surgical Physician Assistant, NPI 1083674147

Unknown Individual is a healthcare provider. based in Anchorage, Alaska. specializing in Surgical Physician Assistant. They hold a License No. 15-00273 (KS). The NPI Number for Unknown Individual is 1083674147

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1083674147
Phone
(907) 257-4844
Address
2925 DEBARR RD
Deactivation Date
18 September 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Debarr Road, Anchorage, Alaska, 99504, United States

    ANCHORAGE, AK 995082983

    Phone: (907) 257-4844

    Fax: (907) 257-4905

    Type: Location

  • 2011, Barboa Circle, Chester Valley, Anchorage, Alaska, 99504, United States

    ANCHORAGE, AK 995043430

    Phone: (907) 929-3829

    Fax: (907) 929-3873

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 99508)

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Reviews

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Frequently asked questions

Can I use this page to confirm Unknown Individual's NPI?
Yes. Unknown Individual is listed with NPI 1083674147 in the public NPI dataset.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Surgical Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Anchorage, Alaska in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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