MEDICARE: NORTHERN ORTHOPEDICS INC

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
2	335E00000X	Prosthetic/Orthotic Supplier

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

General Provider Information

NPI Number	:	1699819789
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTHERN ORTHOPEDICS INC

Provider Business Mailing Address
First Line	:	PO BOX 650846
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75265-0846
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3400 LATOUCHE ST STE 100
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99508-4208
Country	:	US
Telephone Number	:	907-561-1777
Fax Number	:	907-561-2157

Authorized Official
Title or Position	:	REGULATORY COMPLIANCE ANALYST II
Name	:	HEATHER PETERS
Credential	:
Telephone Number	:	859-594-2713

Provider Enumeration Date	:	02/20/2007
Last Update Date	:	01/12/2026

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Directions to “NORTHERN ORTHOPEDICS INC ” Practice Location

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