Healthcare Provider Details

I. General information

NPI: 1528937570
Provider Name (Legal Business Name): ORTHOALASKA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/30/2025
Last Update Date: 10/30/2025
Certification Date: 10/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3125 E MERIDIAN PARK LOOP STE 150
WASILLA AK
99654-7513
US

IV. Provider business mailing address

3801 LAKE OTIS PKWY STE 300
ANCHORAGE AK
99508-5234
US

V. Phone/Fax

Practice location:
  • Phone: 907-864-5025
  • Fax: 907-646-2597
Mailing address:
  • Phone: 907-562-2277
  • Fax: 907-563-3460

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VII. Legacy identifiers

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

VIII. Authorized Official

Name: ELISHA T POWELL IV
Title or Position: PHYSICIAN/OWNER
Credential:
Phone: 907-562-2277