A4 SPECIALTY MEDICAL GROUP FAIRBANKS LLC – NPI #1134990336
Clinic/Center

A4 SPECIALTY MEDICAL GROUP FAIRBANKS LLC is an AHC clinic located in FAIRBANKS, AK. NPPES has assigned the NPI number 1134990336 to A4 SPECIALTY MEDICAL GROUP FAIRBANKS LLC on January 16, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM1300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Multi-Specialty

The NPI profile was last updated on May 13, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for A4 SPECIALTY MEDICAL GROUP FAIRBANKS LLC below.

NPI Profile for
A4 SPECIALTY MEDICAL GROUP FAIRBANKS LLC

NPI Number
1134990336
Enumeration Date

(more than 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
A4 SPECIALTY MEDICAL GROUP FAIRBANKS LLC
Primary location
282 BENTLEY TRUST ROAD SUITE B
FAIRBANKS, AK 99701
Phone: (907) 744-1944 Fax: (907) 921-7669
Mailing address
855 SW 78TH AVE # C200
PLANTATION, FL 33324-3223
Phone: (907) 744-1944 Fax: (907) 921-7669
Organization Subpart
Yes - A4 SPECIALTY MEDICAL GROUP FAIRBANKS LLC is subpart of another organization.
Authorized Official
EDWARD KRAMM
CHIEF EXECUTIVE OFFICER
Phone: (913) 515-6719
Updated
Certification Date
May 13, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM1300X
- Clinic/Center / Multi-Specialty (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.