Healthcare Provider Details

I. General information

NPI: 1306106380
Provider Name (Legal Business Name): ADRIAN ARTHUR FURMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/23/2012
Last Update Date: 06/06/2022
Certification Date: 06/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3340 PROVIDENCE DR SUITE 452
ANCHORAGE AK
99508-4628
US

IV. Provider business mailing address

3340 PROVIDENCE DRIVE SUITE 452
ANCHORAGE AK
99508-4628
US

V. Phone/Fax

Practice location:
  • Phone: 907-562-2120
  • Fax: 907-562-6527
Mailing address:
  • Phone: 907-562-2120
  • Fax: 907-562-6527

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA135188
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number270125
License Number StateMA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: