MEDICARE: ORTHOALASKA, LLC

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	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1427872639
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORTHOALASKA, LLC

Provider Business Mailing Address
First Line	:	3801 LAKE OTIS PKWY STE 300
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99508-5234
Country	:	US
Telephone Number	:	907-562-2277
Fax Number	:	907-563-3460

Provider Business Practice Location Address
First Line	:	2250 E 42ND AVE STE 200
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99508-5202
Country	:	US
Telephone Number	:	907-569-3668
Fax Number	:	907-569-3669

Authorized Official
Title or Position	:	PHYSICIAN/OWNER
Name	:	ELISHA POWELL
Credential	:	MD
Telephone Number	:	907-562-2277

Provider Enumeration Date	:	11/13/2024
Last Update Date	:	11/13/2024

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Directions to “ORTHOALASKA, LLC ” Practice Location

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