Healthcare Provider Details

I. General information

NPI: 1881848240
Provider Name (Legal Business Name): CHRISTOPHER GAY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/12/2008
Last Update Date: 07/29/2024
Certification Date: 07/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1919 LATHROP ST STE 221
FAIRBANKS AK
99701-5943
US

IV. Provider business mailing address

3851 PIPER ST SUITE U464
ANCHORAGE AK
99508-6905
US

V. Phone/Fax

Practice location:
  • Phone: 907-458-5638
  • Fax: 907-458-6415
Mailing address:
  • Phone: 907-339-4800
  • Fax: 907-339-4801

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number8188
License Number StateAK
# 2
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number244147
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberD71331
License Number StateMD
# 4
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberMD039133
License Number StateDC
# 5
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License NumberMEDS8188
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: