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1033160452

NPI Code Detail

MEDICARE: ANESTHESIA CARE ASSOCIATES, PC

MEDICARE: ANESTHESIA CARE ASSOCIATES, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	193975000	OTHER	AK	GROUP FEDERAL DOL#
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	050067816	OTHER	AK	KOEHRER RAILROAD MCR#
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	CI9459	OTHER	AK	GROUP RAILROAD MCR#
8	020257499	OTHER	AK	GROUP DEPT OF LABOR#
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
11	050067817	OTHER	AK	LEE RAILROAD MCR#

General Provider Information

NPI Number	:	1033160452
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANESTHESIA CARE ASSOCIATES, PC

Provider Business Mailing Address
First Line	:	PO BOX 853
Second Line	:
City	:	PALMER
State	:	AK
Zip	:	99645-0853
Country	:	US
Telephone Number	:	800-516-5315
Fax Number	:	907-745-0200

Provider Business Practice Location Address
First Line	:	2500 S WOODWORTH LOOP
Second Line	:
City	:	PALMER
State	:	AK
Zip	:	99645-8984
Country	:	US
Telephone Number	:	907-745-0374
Fax Number	:	907-745-0200

Authorized Official
Title or Position	:	PRESIDENT
Name	:	CHARLES STUART LEE
Credential	:	M.D.
Telephone Number	:	800-516-5315

Provider Enumeration Date	:	05/12/2006
Last Update Date	:	12/06/2019

Similar Medicare Providers

1629067590 — ROY FUKUOKA
Practice Location Address:

2500 S WOODWORTH LOOP
PALMER, AK
99645-8984

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1992781389 — JUDY L WARD-DEITS CRNA
Practice Location Address:

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1699737692 — KERRY DEAN VANCE M.D.
Practice Location Address:

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1730130014 — TREVOR VAN OOSTROM M.D.
Practice Location Address:

2500 S WOODWORTH LOOP
PALMER, AK
99645-8984

Practice Phone: 907-745-0374
Practice Fax: 907-745-0200

1861443152 — ERNEST KOEHRER M.D.
Practice Location Address:

2500 S WOODWORTH LOOP
PALMER, AK
99645-8984

Practice Phone: 907-745-0374
Practice Fax:

1558313866 — CHARLES LEE M.D
Practice Location Address:

2500 S WOODWORTH LOOP
PALMER, AK
99645-8984

Practice Phone: 907-745-0374
Practice Fax: 907-745-0200

Directions to “ANESTHESIA CARE ASSOCIATES, PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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